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 (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. >>> https://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

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 (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, 900KB)

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 >>> Raised Cholesterol (PDF, 694KB)

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) (PDF, 817KB)

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