GP Administrative Enquiry

Please complete this form if you have a non-urgent administrative enquiry for your doctor.

If your enquiry is clinical in nature (e.g. a change or worsening of symptoms, side effects to medication, or new health concerns), please book an appointment with your doctor.

If your enquiry relates to test results, prescriptions, referrals, medical certificates, or accounts, please go back and select the relevant form instead.

Please allow up to 3 business days for our team to respond to your enquiry.

PATIENT DETAILS

Date of Submission

First Name *

Last Name *

Date of Birth *

Contact Phone Number *

Email Verification *

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ENQUIRY DETAILS

Attention to (GP name) *

What does your enquiry relate to? *

⚠️ Questions related to medication submitted through this form will not be actioned.

Please submit your request via the script enquiry form instead.

Go to the script enquiry form →

⚠️ Medical certificate enquiries submitted through this form will not be actioned.

Please submit your request via the medical certificate enquiry form.

Go to the medical certificate enquiry form →

Please provide us with details of your enquiry *

Browse if you would like to upload a document relevant to your enquiry

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Signature *

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Date *