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 please read: 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 visit telfordwellbeingservice.sssft.nhs.uk to go to Telford Primary Care Wellbeing Service Website

Please download the Mental Health Access Services Guide (PDF, 287KB) to see the self referal information for mental health services or call 01952 457415

Ear Wax Treatment

For more information about Ear Wax Treatments please read: Ear Wax Treatment (PDF, 816KB)

Medical Records Request form

To request items from your medical records please use the following form: Request Items from your medical record (PDF, 549KB)

Well Controlled Diabetes

Read more information about Well Controlled Diabetes (PDF, 904KB)

Pre Diabetes

Read more information about Pre Diabetes and Raised Blood Sugar (PDF, 1.01MB)

Private Work Request form

Please download the Private work request form which will need to be printed, signed and returned to the GP practice Private work request form (PDF, 424KB)