The following are links to commonly requested forms available for download:
REGISTRATION
- Welcome Letter HMC
- Registration Form– Please complete and bring to reception with proof of address, Photo ID and the New Patient Questionnaire below
- Please complete the new patient information and questionnaire form and bring to reception. Adults Aged 16+ and Children (0-15) one form per person.
- Change of Details Form – If any of your contact details have changed please complete the form and drop it off at the surgery or email it to [email protected]
- Carer Registration Form
- Proxy Access to online services for your children if they are under 12 Please complete this form and drop it off at the surgery or email it to [email protected]
- Proxy Access to online services for someone else aged 13 and over. Please complete this form and drop it off at the surgery or email it to [email protected]
SERVICES
- If we ask you to fill in a Glucose Diary as part of your diabetes care, you can download it here: Glucose Diary
- Non-NHS Fees Price list. See the SERVICES section for more information. NON-NHS FEES 2023-2024
- If we ask you to complete and submit an Anxiety and Depression Questionnaire you can download it here: Anxiety Depression Questionnaire
- Self Certification Sick Note for less than 7 days. If you have been ill for 7 days or less you don’t need to see a Doctor. You can complete a Self Certification form yourself. Many employers have their own self-certification forms. For more information visit the Gov.UK website. However some employers insist on a Doctor’s note regardless. A Doctors note under these circumstances involves a charge of £20.
- If we ask you to read and sign a Patient Agreement to IUS Insertion, you can download it here; Patient Agreement to IUS insertion
INFORMATION
- The Practice Privacy Notice is here Fair Processing Notice 2023
- Subject Access Request Form – If you would like a copy of some or all of your medical records, use this form to make a request. We will aim to let you have copies within 30 days
- Practice leaflet
- Interpreter request form – if you need an interpreter please download this form and and drop it off at the surgery or email it to [email protected]
- Online services- The NHS APP will allow access to request repeat prescriptions online and to view parts of your medical record. (Appointments is currently disabled due to Covid-19).
- If you have connection issues with the NHS App then read this guide – it will help you get connected NHS APP Help Guide
- Consent to Share Information Form If you would like to give us permission to discuss some or all aspects of your care with a family member, friend or carer, please download and fill in one of our Consent To Share Information Forms and return it to reception at either Sible Hedingham or Castle Hedingham.
- Vitamin D Read our information leaflet about Vitamin D by clicking this link: Vitamin D patient information leaflet
