Low Waters Medical Centre > Forms > Routine Admin Enquiry Form

Routine Admin Enquiry Form

eConsultation Form – Admin

To avoid long phone queues, please use our online enquiry form for any non-clinical enquiries. We aim to respond within 2 working days.

Want to see online advice?

See advice and guidance on conditions, symptoms and treatments NHS Inform.

DO NOT use this form for any medical emergencies, as your request will not be seen immediately.

Important: Are you currently experiencing any of the following?

Signs of a heart attack – pain like a very tight band, heavy weight or squeezing in the centre of your chest or any pain that moves into your jaw or neck
Signs of a stroke – face drooping on one side, can’t hold both arms up, difficulty speaking, or weakness or numbness on one side of your body
Severe difficulty breathing – gasping, not being able to get words out, choking or lips turning blue
Heavy bleeding that won’t stop – uncontrollable bleeding from any part of your body
Severe injuries – including deep cuts after a serious accident
Poisoning – you have swallowed something you should not have (medicines, batteries, household chemicals
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

Do you have any of the above symptoms? *

No, I do not have any of these symptoms

Yes, I have some of these symptoms

Please confirm you are a registered patient of this Practice

I confirm I am a registered patient of the practice

I am not currently registered with the practice

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