Online Consultation with a Doctor

Use this form if your query can be dealt with completely online and you do not need to speak directly to a doctor.

If you are requesting a Home visit, please do not use this form. Instead please speak to a doctor on the Telephone Advice Line (weekdays 08:00 to 10:00am).

If you need to speak to a doctor directly, please book a telephone consultation online or call reception directly.

Alternatively, telephone our telephone advice line which is open 08:00-10:00.

We aim to respond to requests in one working day.

Online Consultation with a Doctor

If you are human, leave this field blank.

Section

How would you like us to help? (Optional)

About the Patient's Problem

Please tell us about the problem. If the practice is already aware of this problem, please tell us what has changed and make sure that you give us as much information as possible. *

Do you have any ideas about what is causing the problem? (Optional)

What are the concerns? (Optional)

Is there a member of staff who would be best to deal with this problem?

We cannot guarantee that your query will be passed onto the Clinician you have requested, this is dependent on their availability.

Terms & Conditions *

I confirm that this problem is not an emergency. I understand that the practice will not deal with this problem while the practice is closed.

If the problem worsens and may require immediate help, I will visit NHS 111 Online or call 111. In an emergency I will call 999.

Any message submitted after 16:00 will not be seen until the next working day. If your message needs a reply before this, then you must phone the practice on 020 8670 6878 instead.

I have read and understood the above statement.

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