Online forms

Use our secure online forms to contact the surgery or complete a health review. You do not need an online-services account to use these forms.

Most-used online services

Order repeat medication

Appointments and medical help

• Get help for a health problem
• Request a nurse or healthcare assistant appointment
• Cancel an appointment

Do not use an online form for a medical emergency. Call 999 if someone is seriously ill or injured and their life is at risk.

Prescriptions and medication

• Order repeat medication
• Ask a prescription question
• Request a medication review
• Ask about synchronising your prescriptions
• Nominate or change a pharmacy

Travel and vaccinations

• Complete a travel risk assessment
• Read about travel and routine vaccinations

Sick notes, results and referrals

• Request a sick or fit note
• Ask about a test result
• Track an existing referral
• Request a medical report

Registration, records and personal details

• Register permanently with Fleggburgh Surgery
• Register as a temporary patient
• Register for online services
• Change your personal details
• Opt out of the Summary Care Record
• Register as a carer

Contact and administrative requests

• Contact the practice
• Ask reception a question
• Ask the practice a question
• Join the Patient Participation Group

Health reviews and questionnaires

Please only complete a clinical review form when it is relevant to your condition or the practice has asked you to do so.

Long-term conditions

• Adult asthma review
• COPD review
• Breathlessness review
• Epilepsy review
• Hypothyroidism review
• Synchronise long-term-condition appointments

Measurements and scores

• Submit blood-pressure readings
• Epworth Sleepiness Scale
• Oxford Hip Score
• Oxford Knee Score
• Patient Health Questionnaire (PHQ-9)
• Male urinary symptoms (IPSS) review

Lifestyle and reproductive health

• Contraceptive pill review
• Alcohol consumption review
• Smoking review

Feedback

• Give feedback
• Complete the NHS Friends and Family Test

Cannot find the right form?

Visit our contact page or call the surgery on 01493 369232.

If a disability or another individual circumstance prevents you from using an online form, contact the surgery so we can discuss an appropriate alternative or reasonable adjustment.