eConsultation Forms

Health problems

I would like to see a GP

Use this form to request an appointment with a GP

I need help with mental health

This may include stress, anxiety, depression or anything that is affecting your well being. If you are concerned about someone else please look at Mindwell for advice.

I have knee pain

If you think you need to see a physiotherapist about a knee injury, please complete this form.

I think I may have a urine infection

Admin tasks

Cancel appointment

This form allows you to quickly cancel an appointment, you will need to rebook at a later date

Get a sick / fit note

If you already have a sick/fit note and wish to extend the period of absence from work, then you can do this by completing an online form

I have a query about a referral

If you have any sort of query about a referral please complete this online form

I have a query about medication

The majority of queries about medications, prescription, pharmacies and more can be dealt with using this form.

Health reviews

Contraceptive Pill check

Before starting please have a blood pressure reading and weight (in Kg), taken within the last 2 weeks, at hand. Blood pressure checks are available at most pharmacies,where you might be collecting your prescription from, and gyms have equipment as well.

I want to review my Asthma

If you are due annual your asthma review or feel your asthma is not well controlled, use this form.

I want to submit my blood pressure readings

If you are monitoring you own blood pressure at home, use this form to record the readings and send them to use.

I need Travel Advice or Vaccinations

Use this form if you need advice about travel medicine. Our nursing team will review your information and get back to you with the appropriate advice.

I have a review for my COPD

If you are due to see the nurse for a COPD (chronic obstructive pulmonary disease) review, fill in this form before your appointment.

NHS Health Check

If you are booked in for an NHS Health Check, please fill in this form before your appointment.