Request an appointment with a Nurse or Assistant Practitioner (COVID-19)

COVID-19 Screening

Do you have either:

a high temperature – This means you feel hot to touch on your chest or back (you do not need to measure your temperature)
a new, continuous cough – This means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)
loss or change to your sense of smell or taste – this means you’ve noticed you cannot smell or taste anything, or things smell or taste different to normal
Have you been told by 111 to contact the practice?
Do you live with someone who has had a high temperature or a new, continuous cough? If their symptoms started more than 14 days ago, click No.

Please continue to fill out this form

Your symptoms suggest you might have Coronavirus (COVID-19). You should use the 111 online coronavirus service to find out what to do.

Section

The practice can send a text message to your phone with your appointment time. *
Appointment required (tick all that apply):

Blood tests must be taken before 1.00pm.

You can also book blood tests directly using the NHS App or Patient Access.

Has the blood test been requested by the GP or hospital? *
Do you have the blood test request form? *
For your diabetes review, which would you prefer: *
Cervical screening:

If you would like to request an appointment with a Nurse Practitioner, please complete the Get help for any health problem form instead.

Have you been told when to have the appointment, for example, “in the next two weeks” or “in one month’s time”? *
*