Referral query

Please do not book an appointment to enquire about a referral or waiting times.

We understand that waiting times for some services can be long. Use this form for general referral enquiries only.

It cannot be used to request appointments or check the status of a referral.

Contact details for the service you have been referred to can be found in your original referral information.

Please allow sufficient time for your referral to be processed before contacting us.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of
• the service you are waiting to be referred to

Start now

You can also phone us on 01273 249049.

or complete an eConsult