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Severnbank Surgery NHS GP Surgery in Gloucestershire

Request a routine appointment

Request a Routine Appointment

Section

Appointment required (tick all that apply):

Blood test

Blood pressure check

ECG

Vaccination

Asthma review

COPD review

Diabetes review

Wound management/dressing

Cervical smear

Family planning or sexual health advice

Other

Blood tests must be taken before 1.00pm.

You can also book blood tests directly using the NHS App or SystmOne.

Reason for requesting a blood test: *

Which vaccination do you require? *

Cervical smear: *

I know that cervical smear is due now.

I am not sure when cervical smear is due. Please check records.

Please specify what appointment type you require: *

Have you been told when to have the appointment, for example, “in the next two weeks” or “in one month’s time”? *

Yes

When does the appointment need to be? *

Tell us when you are available to have an appointment: *

Tell us when you are available to have an appointment in the next three weeks: *

Can we send a text message with your appointment time? *

Yes

I understand that the practice may need to send me a secure online message about my appointment. I will check my emails.

If you are human, leave this field blank.

Tutnalls Street
Lydney
Gloucestershire
GL15 5PF

Get directions

01594 845715

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