Castle Hedingham
01787 461 465

Sible Hedingham
01787 461 465


The following are links to commonly requested forms available for download:



  • 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


  • 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

Date published: 10th May, 2022
Date last updated: 22nd May, 2024