Request an appointment with a nurse or healthcare assistant

Use this service to request an appointment with a nurse or healthcare assistant.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of
• details of your appointment request

Start now

Alternatively, you can contact the surgery on 0121 550 4917.