Use this service to get medical help from the surgery.
You can only use this form if you have an access need that means you cannot phone us for an appointment for today or tomorrow (for example, deaf, hard of hearing or unable to speak on the phone).
If you do not have an access need, you can use the get help for any health problem form instead.
We will respond within 2 working days during opening times. Depending on the time you submit your request, you may not get a response on the same day.
Please be concise and be aware that this form is for one problem only.
Please note these forms are closed over the weekend
You can use this service if you:
- are registered at the surgery
- have an access need that means you cannot phone us
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
Call 999 or go to A&E now for any of these:
Signs of a heart attack
chest pain, pressure, heaviness, tightness or squeezing across the chest
Signs of a stroke
face dropping on one side, can’t hold both arms up, difficulty speaking
Sudden confusion (delirium)
cannot be sure of own name or age
Suicide attempt
by taking something or self-harming
Severe difficulty breathing
not being able to get words out, choking or gasping
Heavy bleeding
spraying, pouring or enough to make a puddle
Severe injuries
after a serious accident
Seizure (fit)
shaking or jerking because of a fit, or unconscious (can’t be woken up)
Sudden, rapid swelling
of the lips, mouth, throat or tongue
Labour or childbirth
waters breaking, more frequent intense cramps (contractions), baby coming, or just born
British Sign Language (BSL) speakers can make a video call to 999.
Deaf people can use 18000 to contact 999 using text relay.