Request an appointment with a nurse or healthcare assistant

Use this service to request an appointment with a nurse or healthcare assistant.
Please note this form is only for appointments such as blood tests (requested by the GP), cervical screenings, injections, travel vaccinations, health checks and reviews such as asthma, COPD etc. This form is not to book a GP appointment.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of
• details of your appointment request

Start now

Alternatively, you can contact the surgery on 0161 445 1957.