Electronic Letters and Forms

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

 

Carer Consent Form

If you are a Carer and need to speak on behalf of a patient please complete this form - Carer Consent Form

The form also has useful contact details to help you if you are a carer. >>> https://www.nhs.uk/conditions/social-care-and-support-guide/support-and-benefit

s-for-carers/

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>>> http://telfordwellbeingservice.sssft.nhs.uk/ to go to Telford Primary Care Wellbeing Service Website

Please click this text >>> Mental Health Access Services 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

Minor Changes on Xray

Please click this for more information >>> Minor Changes on X ray

Medical Records Request form 

Pleas click on the link to request items from your medical records >>>> Request Items from your medical record

Well Controlled Diabetes 

Please click this for more information >>>Well Controlled Diabetes

 

Pre Diabetes

 

Please click this for more information >>> Pre Diabetes and Raised Blood Sugar

 

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

 

Fatty Liver Results

Please click this for more information >>> Fatty Liver on Ultrasound

 

Fibroids Results

 

Please click this for more information >>> Fibroids on Ultrasound

 

Low Folate Levels

 

Please click this for more information >>> Low Folate Levels

 

Low Vitamin D Levels

 

Please click this for more information >>> Low Vitamin D Levels

 

Low Vitamin B12 Levels

 

 

Please click this for more information >>> Low Vitamin B12 Levels

High Cholesterol

 

Please click this for more information >>> Raised Cholesterol

 

FIT Test Patient Information Leaflet

 

Please click this for more information >>> FIT Test Information Leaflet

 

Pulmonary Rehabilitation Information

 

 

Please click this for more information >>> Pulmonary rehabilitation (PR)

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