Get help for any health problem

Use this form at any time to get help from your practice. We aim to respond within 2 working days.

Please be concise and be aware that this form is for one problem only.

Get help for any health problem (COVID-19)

COVID-19 Screening

Do you have either:

a high temperature - This means you feel hot to touch on your chest or back (you do not need to measure your temperature) *
a new, continuous cough - This means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual) *
Have you been told by 111 to contact the practice? *
Do you live with someone who has had a high temperature or a new, continuous cough? If their symptoms started more than 14 days ago, click No. *
Please continue to fill out this form
Your symptoms suggest you might have Coronavirus (COVID-19). You should use the 111 online coronavirus service to find out what to do.

About the Patient's Problem

If you're not sure, it's helpful to tell us whether it's been days, weeks, months or years.
How would you like us to deal with the problem? *

Online message sent through your email

Telephone

Face to face appointment

Video Consultation:
Video consultations require you to have a smartphone, tablet, laptop or any computer with camera and microphone or headset. You will also require access to the internet, preferably over wifi. If the practice decides on a video consultation you will be sent an email containing a link for the video consultation, so it's best if you can receive your emails on that same device.

Chaperones

There are occasions when patients need to be examined by a clinician which may involve intimate examinations. We are committed to putting patients at ease wherever possible. If you wish for a chaperone to be present during an examination, please specify below.
Does the patient require a chaperone present at the appointment? *

Do you require an interpreter or DA Languages?
The practice can send a text message to your phone with your appointment time. *
Terms & Conditions - Please select all boxes before submitting *