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When submitting the form, you will need to answer a few short questions and we will get back to within 3 working days. Please do not use this form for urgent or emergency requests, contact 111 or 999 if it is a medical emergency. The forms that are submitted will only be read during our opening hours, forms will not be read on Saturdays and Sundays, or bank holidays. If you are seriously unwell, call 111 or 999.

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