Evaluation Report

…of Parts Level: AA Outcome: Passed 3.1.3. Unusual Words Level: AAA Outcome: Passed 3.1.4. Abbreviations Level: AAA Outcome: Passed 3.1.5. Reading Level Level: AAA Outcome: Passed 3.1.6. Pronunciation Level: AAA…

Privacy Notice

may limit the ability of healthcare professionals to identify if you have or are at risk of developing certain serious health conditions. Safeguarding To ensure that adult and children’s safeguarding…

Requesting an additional Sick / Fit Note

If you have already had a Sick Note (Fit Note) for this illness your Doctor may not need to see you to issue an additional Sick Note. Please complete this…

Clinics and Services

…Please make an appointment with the doctor or practice nurse during surgery hours. They are also able to give advice on emergency contraception. If you have been advised by the…

Summary Care Record Opt Out

…this date format: DD/MM/YYYY. Address (including postcode): Phone Number: Email Address: * Any responses we send will go to this email address. NHS number (if known): Section B If you…

Patient Health Questionnaire (PHQ-9)

If you have been advised by the surgery to submit a Patient Health Questionnaire (PHQ-9) please use this form. Patient Health Questionnaire (PHQ-9) Patient Health Questionnaire (PHQ-9) If you are…

Patient Participation Group Registration

…White and Black African White and Asian Indian Pakistani Bangladeshi Caribbean African Chinese Other Age group: Under 16 17 – 24 25 – 34 35 – 44 45 – 54…

Epilepsy Review

You Full Name: * Date of Birth: * Please use this date format: DD/MM/YYYY. Phone Number: Email Address: * Any responses we send will go to this email address. Epilepsy…

Medication Review

Birth: * Please use this date format: DD/MM/YYYY. Phone Number: Email Address: * Any responses we send will go to this email address. Named GP (if known): Do you have…