Contact Us Form



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Please note: This form should not be used for clinical enquiries.

Personal Details
Please double check you've entered the correct email address
May be used to identify you
Your Query

Before submitting your form please check that your query does not involve the following:

  1. Appointment queries, requests or cancellations
  2. Interpreting results
  3. Referral requests
  4. Any health concerns

If you submit a request regarding one of the subjects above, you may not recieve a response.

Patients can contact the surgery about medical ​queries through:

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.


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