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A Coronavirus / Covid-19 Vaccination enquiry
Information about Covid long-term effects. Latest vaccination information...
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A medication request form
To request repeat medications use NHS App or Online Patient Access. Due...
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A New Patient Registration Form
To register with this practice use one of the forms below. Once completed...
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A Request For A Private Letter/ Medical Report
letter from GP (private work a fee may be involved)
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A Result Query
Download NHS App or Online Patient Access. DO NOT CONTACT US IF IT HAS...
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Alcohol
Find out about sensible drinking, the risks of drinking to excess and services...
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An Online Patient Access
Access your records, request repeat medications, view results online
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Appointment with the Nurse (smear test)
Call us or fill this form if you are due for a routine smear test or have...
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Asthma
Get advice or contact your practice about asthma or a related query.
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Change of details
Please inform us if any of your personal or contact details change
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Chronic obstructive pulmonary disease (COPD)
Get advice or contact your practice about COPD or a related query
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Constipation in adults
Get advice or contact the practice about constipation or a related query
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Constipation in children
Get advice or contact the practice about your child's constipation
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Cough or colds and flu in adults and children over 5 years
Get advice or contact your practice about coughs, colds, chest infection...
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Depression
Get advice or contact the practice about depression or low mood
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Diabetes
Get advice or contact the practice about diabetes or a related query.
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Eczema
Get advice or contact your practice for eczema or a related query.
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Eye Pain
Get advice or contact your practice for eye pain or a related query.
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Fit (sick) notes
Request a fit (sick) note, view guidance or print self-certification for...
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General Health Query
Other health problem form
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Hayfever
Get advice or contact your practice about hay fever or a related query.
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Headache
Get advice or contact your practice about headache, migraine or a related...
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Indigestion
Get advice or contact your practice about indigestion or a related query.
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Insect bites and stings
Get advice or contact your practice about insect bites or stings or a related...
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Malaria prevention
Get advice or contact your practice about malaria prevention/antimalarial...
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Men's health
Get advice or contact your practice about problems with erections, testicles,...
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Mental Health
Get advice or contact your practice about depression, anxiety, panic attacks,...
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Muscle & joint problems
Get advice or contact your practice about problems with joints including...
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Newham Directory of Services
Directory of health and social care services in Newham
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Rash in adults
Get advice or contact your practice about skin rash (including shingles)...
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Rash in children
Get advice or contact your practice about your child's rash, including...
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Self-Referral to British Pregnancy Advisory Service
Includes self-referral for abortion
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Self-Referral to Get Help to Stop Smoking
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Self-Referral to Maternity - Barts Hospital
Information on self-referral to maternity care at Barts Hospital
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Self-Referral to Maternity - Homerton Hospital
Information on self-referral to Homerton hospital maternity service
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Self-Referral to Newham Talking Therapies
Anxious? Feeling low? Stressed?
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Self-Referral to Physiotherapy
Physiotherapy Self-referral Form
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Self-Referral to Sexual Health Clinic
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Sickness, diarrhoea, bowel problems and stomach pain
Get advice or contact your practice about vomiting, diarrhoea, tummy (abdominal)...
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Travel health information (seek advice at least 2 months before travel)
Find out information on immunisations and other preparations and precautions...
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Weight loss, diet and exercise
Calculate your ideal weight using our BMI (body mass index) calculator,...
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Women's health
Get advice or contact your practice if you have period problems; vaginal...
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XYZ (for office use only)
Please do not use this form