Please use the following forms to help look after your health
Blood Pressure forms and information
If you have been booked for a 24 Hour Blood pressure Monitor Click here: 24 Hour BP Information (PDF, 232KB)
Carer Consent Form
If you are a Carer and need to speak on behalf of a patient please complete this form: Carer Consent Form (PDF, 509KB)
The form also has useful contact details to help you if you are a carer: www.nhs.uk/conditions/social-care-and-support-guide/support-and-benefits-for-carers
Proxy Access
For more information and to apply for proxy access please complete this online form: Proxy Access Information and consent form (DOCX, 25KB)
Contraceptive Pill Requests
Please complete this online form for a pill request Contraceptive Pill request
Depression, Low Mood, Anxiety and other mental health Services
Please click this: telfordwellbeingservice.sssft.nhs.uk to go to Telford Primary Care Wellbeing Service Website
Please click this text: Mental Health Access Services (PDF, 287KB) to see the self referal information for mental health services or call 01952 457415
Ear Wax Treatment
Please click this for more information: Ear Wax Treatment (PDF, 816KB)
Medical Records Request form
Pleas click on the link to request items from your medical records: Request Items from your medical record (PDF, 549KB)
Well Controlled Diabetes
Please click this for more information: Well Controlled Diabetes (PDF, 904KB)
Pre Diabetes
Please click this for more information: Pre Diabetes and Raised Blood Sugar (PDF, 1.01MB)
Private Work Request form
Please click this link to be taken to the Private work request form which will need to be printed, signed and returned to the GP practice Private work request form (PDF, 424KB)
Fatty Liver Results
Please click this for more information: Fatty Liver on Ultrasound (PDF, 646KB)
Fibroids Results
Please click this for more information: Fibroids on Ultrasound (PDF, 710KB)
Low Folate Levels
Please click this for more information: Low Folate Levels (PDF, 713KB)
Low Vitamin D Levels
Please click this for more information: Low Vitamin D Levels (PDF, 734KB)
Low Vitamin B12 Levels
Please click this for more information: Low Vitamin B12 Levels (PDF, 613KB)
High Cholesterol
Please click this for more information: High Cholesterol
FIT Test Patient Information Leaflet
Please click this for more information: FIT Test Information Leaflet (DOCX, 27KB)
Pulmonary Rehabilitation Information
Please click this for more information: Pulmonary rehabilitation (PR) (PDF, 817KB)