Online Consultation Request

    • Emergency
    • Covid Check
    • Non urgent
    • Registered
    • Patient Details
    • Symptoms
    • Other Symptoms
    • Better or Worse
    • Expectations
    • Submit

    Check it’s not an emergency

    Call 999 now if you have:

    • signs of a heart attack - pain like a very tight band, heavyweight or squeezing in the centre of your chest
    • signs of a stroke - face drooping on one side, can’t hold both arms up, difficulty speaking
    • severe difficulty breathing - gasping, not being able to get words out, choking or lips turning blue
    • heavy bleeding - that won’t stop
    • severe injuries - or deep cuts after a serious accident
    • seizure (fit) - someone is shaking or jerking because of a fit, or is unconscious (can’t be woken up)
    • sudden, rapid swelling - of the eyes, lips, mouth, throat or tongue

    I confirm that I have none of these*.

    Check it’s not Covid-19

    Call 111 now if you have:

    • Cough - Hacking, tickly or dry cough, without other cold symptoms. Coughing up phlegm or mucus.
    • High temperature with no other symptoms - Fever, chills and shivering, or hot to touch, with no other symptoms.
    • Loss or change to your sense of smell or taste - You cannot smell or taste anything, or things smell or taste different to normal.
    • Cold or flu symptoms - Cough. Headache. Aching muscles. A blocked or runny nose. Sneezing. Sore throat. Pain in the face. High temperature (fever).
    • Breathlessness - Wheezing, panting or feeling out of breath. Difficult or noisy breathing.
    • Tiredness - Feeling tired or exhausted (fatigue) most of the time, or tiring easily.
    • Confirmed Covid-19 case - Have been in touch with anyone who has confirmed Covid-19.

    I confirm that I have none of these*.

    Your GP Practice will assess your symptoms and will contact you with the appropriate follow-up advice within 48 working hours.

    If you think you need urgent attention, please phone your GP Practice directly.

    I understand that it may take up to 48 working hours to respond*.

    This service is only available to patients at Small Health Medical Practice.

    If you are not registered with us please either register through our Patient Registration form or contact your surgery.

    Tell us about you, or the person you're asking about? If the patient is under 13 years old then parents consent is required.

    What is your first name?* (required)

    What is your surname?* (required)

    What is your date of birth?* (required)

    What is your postcode?* (required)

    What is your email address?

    What is your phone number?* (required)

    What can you tell us about your symptoms?*

    Please describe your symptoms.

    How long ago did your symptoms start in days?* (Enter 0 if your symptoms started today)

    What can you tell us about your symptoms?

    Are your symptoms associated with any other symptoms?*

    What treatments have you tried already?*

    What can you tell us about your symptoms?

    Does anything make your symptoms feel better?*

    Does anything make your symptoms feel worse?*

    What can you tell us about your symptoms?

    Do you have any idea what might be causing your symptoms?*

    Is your symptom visible, for example a skin condition that you would like your doctor to see? If yes you may upload a good quality image here. By uploading these images you consent to them being held in your medical record.

    Do you have any concerns about your symptoms?*

    What are your expectations of this assessment?

    AppointmentPrescriptionReferralAdviceOthers

    By clicking the submit button your online consultation request will be sent to your GP Practice. Your GP Practice will assess your symptoms and will contact you with the appropriate follow-up advice within 48 working hours. If you think you need urgent attention, please phone your GP Practice directly.