Ask Reception a Question

Your question will be passed to an appropriate member of staff for a response. We aim to respond to all questions within one working day.

Do not use this form if you need help with a medical problem. Use our Consulting Room instead.

Please remember that our Zero Tolerance policy applies to all aspects of our surgeries, including our website.

Ask Reception a Question (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) *
loss or change to your sense of smell or taste - this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal *
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.

Please do not use this form to request a repeat prescription or to book an appointment.

Which surgery do you normally attend? *

Section

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