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THIS IS A NON URGENT SERVICE
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You should not submit this form if the patient requires immediate treatment.
Call 999 if you have any of the following symptoms:
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Signs of a heart attack: chest pain, pressure, heaviness, tightness or squeezing across the chest
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Signs of a stroke: face dropping on one side, cannot hold both arms up, difficulty speaking
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Sudden confusion (delirium): cannot be sure of own name or age
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Suicide attempt: by taking something or self-harming
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Severe difficulty breathing: not being able to get words out, choking or gasping
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Choking: on liquids or solids right now
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Heavy bleeding: spraying, pouring or enough to make a puddle
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Severe injuries: after a serious accident or assault
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Seizure (fit): shaking or jerking because of a fit, or unconscious (cannot be woken up)
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Sudden, rapid swelling: of the lips, mouth, throat or tongue
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Labour or childbirth: waters breaking, more frequent intense cramps (contractions), baby coming, or just born
If you need more urgent help, call your GP practice. If it's closed, visit NHS 111 online or call 111. In an emergency call 999