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Email a Doctor

Please note: It is important that you read our terms and conditions before using this service.

Please fill in ALL fields
Use your TAB button, or your mouse to move from one field to the next. Pressing enter to go to the next field will click the request button and you will be taken to an error page.
We aim to reply to messages ASAP but we CAN NOT give a timescale.
Please
DO NOT ask for URGENT MEDICAL ADVICE using this form. If you are in ANY DOUBT as to whether your query is urgent, please telephone us. If you are telephoning 'out of hours' you will be put through to the local 24 hour service. Grosvenor Road Surgery WILL NOT be held at all responsible for ANYONE using this form to contact their doctor.
Use this form for your general enquiries with your doctor only.
You must accept our terms and conditions before using this form.

First Name

Surname

Phone Number

E-mail Address


Doctor to Contact

Comments



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