Ask Reception a Question

Please do not use this service for any urgent medical queries as this service is only monitored during practice working hours. Your question will be passed to an appropriate member of staff for a response. We aim to respond to all questions within two working days. If you do have an urgent medical query you should telephone the surgery or contact the out of hours service by calling 111. In an emergency please contact 999. This service should not be used to request an appointment, any appointment requests submitted will not be actioned.

  • Your Details

    Date of Birth
    For example, 15 3 1984

  • Your Question

    THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION AND MEDICAL DETAILS. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA.
The information you provide on this form will be sent to our practice and used only to deal with your request. Depending on the form, this may include your contact details, personal information and health information. The practice may add it to your medical record and, where needed for your care, share it with other NHS and care services. To find out how we protect and use your information, please read our privacy policy on our website.
This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Page last reviewed: 30 October 2026
Page created: 02 November 2026