Get help for any health problem

About the Patient's Problem

What is the problem? If you have seen us about this problem before, tell us what has changed. *

If you are unsure of how to word it, it might help to write down the problem as if you were speaking to someone.

How long has this been a problem? *

If you're not sure, it's helpful to tell us whether it's been days, weeks, months or years.

Do you have an idea about what is causing the problem?

This might be something that happened or that you discovered around the time your symptoms began.

What are you worried about?

Think of anything that might be worrying you about the problem you are telling us about today.

Is there a member of staff who would be best to deal with this problem?

We cannot guarantee that your query will be passed onto the clinician you have requested as this is dependent on their availability.

Attach photos or other files

Please send photos if your problem is a rash, mole, lump, or if you think a photo would help our clinicians.

Tips on taking good photos:

Use a background that is plain and dark.
Good lighting is important. Use natural lighting if possible, or consider using flash as well as your room lights.
Take at least one photo that shows a wide area of your body, so that we can see which parts of you are affected.
Take at least one close-up photo. Don't go so close that the picture is out of focus.
For problems like moles, put a ruler or coin on the skin close to the mole so that we can see how large it is.
Give your camera time to focus on the right spot. If your camera is too close it will be unable to focus.

Any files you attach may be stored on your medical records.

Maximum upload size: 67.11MB

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 internet access (ideally over WiFi) and a smartphone or computer with a camera and microphone or headset.

Online message sent through your email

We might still need to phone you or arrange a face to face or video appointment. Please tell us if any of these would be a problem for you: *

Telephone

Are there any times today when you cannot receive a phone call? *

We might still need to send you a secure online message or arrange a face to face or video appointment. Please tell us if any of these would be a problem for you: *

Face to face appointment

Are there any times today when you cannot attend an appointment? *

Our doctors will decide whether an appointment is the best way to help you. We might need to send you a secure online message, phone you or arrange a video appointment. Please tell us if any of these would be a problem for you:

Video consultation

Are there any times today when you cannot attend a video consultation? *

Our doctors will decide whether a video appointment is the best way to help you. We might need to send you a secure online message, phone you or arrange a face to face appointment. Please tell us if any of these would be a problem for you: *

How quickly do you think the problem needs to be dealt with? *

Within a few hours

Today

Tomorrow at the latest

It can wait a few days

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

Yes

No

Terms & Conditions *

I confirm that this problem is not an emergency. I understand that the practice will not deal with this problem while the practice is closed.

If the problem worsens and may require immediate help, I will visit NHS 111 Online or call 111. In an emergency I will call 999.

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