Medication Query Request

Call 999 now if you have:

signs of a heart attack - pain like a very tight band, heavyweight or squeezing in the centre of your chest
signs of a stroke - face drooping on one side, can’t hold both arms up, difficulty speaking
severe difficulty breathing - gasping, not being able to get words out, choking or lips turning blue
heavy bleeding - that won’t stop
severe injuries - or deep cuts after a serious accident
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

I confirm that I have none of these.*

Call 119 now if you have:

Cough - Hacking, tickly or dry cough, without other cold symptoms. Coughing up phlegm or mucus.
High temperature with no other symptoms - Fever, chills and shivering, or hot to touch, with no other symptoms.
Loss or change to your sense of smell or taste - You cannot smell or taste anything, or things smell or taste different to normal.
Breathlessness - Wheezing, panting or feeling out of breath. Difficult or noisy breathing.
Confirmed Covid-19 case - Have been in touch with anyone who has confirmed Covid-19.

I confirm that I have none of these.*

Personal and Registration Details

This service is only available to patients registered at this practice. If you are not, please Register here. If you need to re-register due to COVID-19 lockdown please Click here.

We will get back to you within 72 working hours. If you think you need urgent attention, please phone the surgery.

I confirm that I am registered with this practice.

Title

First Name

Surname

Date of Birth

Contact Number

I understand that it may take up to 72 working hours to respond. *

Medication Query Details

What is the reason for your this medication query?

Problem with medication Annual review Require a blood test

More information

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