Request an appointment - Kingsway Surgery

Check it's not an emergency

Call 111 or 999 for urgent medical help if you have any of these as your request will not be seen immediately.

Crushing chest pain and tightness
New drooping on one side of the face, slurred speech, difficulty raising your arms, weakness or numbness on one side of your body
Severe difficulty breathing
Heavy bleeding that won't stop
Severe injuries
Feeling suicidal, wanting to harm yourself, or others

Non-Urgent Request - You can request an appointment up to 4 weeks in advance

If your request is not urgent, you can book a non-urgent appointment up to 4 weeks in advance. Please call the surgery to request a non urgent appointment. An adult should accompany children under 14.You can request to see a particular doctor, but you may have to wait longer for your consultation than if you are happy to seen any GP.

Please complete the form below to request an appointment.

Is this Urgent or Non-Urgent

Urgent
Non-Urgent

Who is this request about?

Myself
My Child
Someone Else

Patients First Name

Patients Last Name

Date of birth

Postcode

Your phone number. A mobile number is preferred

Medical issue details

Please describe the medical problem. If you are filling this in on behalf of someone else, please make that clear

Attach a photo (Optional)

How long have these symptoms or concerns been going on? Have they got better or worse?

Is there anything you are particularly worried about? (Optional)

Please enter any times during opening hours when we cannot contact you (Optional). We will only contact you within practice opening hours

How would you prefer to be reviewed?

Telephone
Face to Face