1. A Coronavirus / Covid-19 Vaccination enquiry

    Information about Covid long-term effects. Latest vaccination information...

  2. A medication request form

    To request repeat medications use NHS App or Online Patient Access. Due...

  3. A New Patient Registration Form

    To register with this practice use one of the forms below. Once completed...

  4. A Request For A Private Letter/ Medical Report

    letter from GP (private work a fee may be involved)

  5. A Result Query

    Download NHS App or Online Patient Access. DO NOT CONTACT US IF IT HAS...

  6. Alcohol

    Find out about sensible drinking, the risks of drinking to excess and services...

  7. An Online Patient Access

    Access your records, request repeat medications, view results online

  8. Appointment with the Nurse (smear test)

    Call us or fill this form if you are due for a routine smear test or have...

  9. Asthma

    Get advice or contact your practice about asthma or a related query.

  10. Change of details

    Please inform us if any of your personal or contact details change

  11. Chronic obstructive pulmonary disease (COPD)

    Get advice or contact your practice about COPD or a related query

  12. Constipation in adults

    Get advice or contact the practice about constipation or a related query

  13. Constipation in children

    Get advice or contact the practice about your child's constipation

  14. Cough or colds and flu in adults and children over 5 years

    Get advice or contact your practice about coughs, colds, chest infection...

  15. Depression

    Get advice or contact the practice about depression or low mood

  1. Diabetes

    Get advice or contact the practice about diabetes or a related query.

  2. Eczema

    Get advice or contact your practice for eczema or a related query.

  3. Eye Pain

    Get advice or contact your practice for eye pain or a related query.

  4. Fit (sick) notes

    Request a fit (sick) note, view guidance or print self-certification for...

  5. General Health Query

    Other health problem form

  6. Hayfever

    Get advice or contact your practice about hay fever or a related query.

  7. Headache

    Get advice or contact your practice about headache, migraine or a related...

  8. Indigestion

    Get advice or contact your practice about indigestion or a related query.

  9. Insect bites and stings

    Get advice or contact your practice about insect bites or stings or a related...

  10. Malaria prevention

    Get advice or contact your practice about malaria prevention/antimalarial...

  11. Men's health

    Get advice or contact your practice about problems with erections, testicles,...

  12. Mental Health

    Get advice or contact your practice about depression, anxiety, panic attacks,...

  13. Muscle & joint problems

    Get advice or contact your practice about problems with joints including...

  14. Newham Directory of Services

    Directory of health and social care services in Newham

  1. Rash in adults

    Get advice or contact your practice about skin rash (including shingles)...

  2. Rash in children

    Get advice or contact your practice about your child's rash, including...

  3. Self-Referral to British Pregnancy Advisory Service

    Includes self-referral for abortion

  4. Self-Referral to Get Help to Stop Smoking

  5. Self-Referral to Maternity - Barts Hospital

    Information on self-referral to maternity care at Barts Hospital

  6. Self-Referral to Maternity - Homerton Hospital

    Information on self-referral to Homerton hospital maternity service

  7. Self-Referral to Newham Talking Therapies

    Anxious? Feeling low? Stressed?

  8. Self-Referral to Physiotherapy

    Physiotherapy Self-referral Form

  9. Self-Referral to Sexual Health Clinic

  10. Sickness, diarrhoea, bowel problems and stomach pain

    Get advice or contact your practice about vomiting, diarrhoea, tummy (abdominal)...

  11. Travel health information (seek advice at least 2 months before travel)

    Find out information on immunisations and other preparations and precautions...

  12. Weight loss, diet and exercise

    Calculate your ideal weight using our BMI (body mass index) calculator,...

  13. Women's health

    Get advice or contact your practice if you have period problems; vaginal...

  14. XYZ (for office use only)

    Please do not use this form