By sending this form you are not booking an appointment or telephone consultation. You are requesting that a routine appointment or telephone call be booked for you. This is why you cannot specify an exact time and date. Should you feel that you have an urgent medical problem, please contact the surgery directly by telephone, rather than using this form.
When an appointment or call has been booked for you, an email will be sent with the details. You must ensure that you do not have a spam-blocker installed or any other kind of software that will reject this automatic email.
If, for some reason, you are unable to keep the appointment or accept the call please phone the surgery and cancel as soon as possible.