Request an appointment with a Nurse or Healthcare Assistant

Tell us when you want your appointment and we will reply to you with a time. Once we receive this form we will process it within 2 working days.

Request an appointment with a Nurse or Healthcare Assistant


The practice can send a text message to your phone with your appointment time. *
Appointment required (tick all that apply): *

Blood tests must be taken before 3pm and must have been requested by a clinician at the practice. If you require a blood test requested by another provider e.g. hospital you must bring your blood test form with you, without this we will not be able to proceed with the appointment.

You can also book blood tests directly using the NHS App or SystmOnline.

Please specify the vaccination your require: *

If you require travel vaccinations, please complete our travel risk assessment instead.

To help the Travel Nurses assess your travel needs it is important that they are in receipt of the assessment form before they can contact you to arrange your appointment.

Cervical screening:

If you would like to request an appointment with a Nurse Practitioner, please complete the Get help for any health problem form instead.

Have you been told when to have the appointment, for example, "in the next two weeks" or "in one month's time"? *