What would you like help with?

This will be read by a member of the Yelverton Surgery Team within 3 working days. DO NOT USE THIS FORM if you are suffering from chest pain, a severe new onset headache, severe abdominal pain, non-blanching rash or new severe back pain with incontinence or new severe back pain with significant weakness/numbness in lower limbs. Call the surgery instead on 01822 852202 for urgent clinical advice and assessment (in hours), or NHS 111 or 999 out of hours. **PLEASE ALSO MAKE SURE YOU READ THE NEXT PAGE CAREFULLY WHEN MAKING A MEDICAL REQUEST**

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