GP/Self Referral Form

Covid-19 Update

For the health of yourselves and others please take the time to wash your hands (for at least 20 seconds) and sanitise thoroughly before entering the clinic.

If you have symptoms including a cough, fever or shortness of breath or have recently returned from a high risk country please inform a member of staff prior to your visit.

Ensure you cover your mouth and nose with a tissue when coughing or sneezing.

Please arrive for your appointment on time and avoid sitting in the waiting area after your appointment.