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Pennine Medical Centre NHS GP Surgery in Greater Manchester

Request a routine appointment

Routine appointment request

Do you know the type of routine appointment you need? *

For example, a follow-up, blood test, health review or cervical screening (smear test)

Yes

No

I’m not sure

About the appointment

What type of appointment do you need? *

Please tell us about the problem. If the practice is already aware of this problem, please tell us what has changed. *

About the patient’s problem

Please tell us about the problem. If the practice is already aware of this problem, please tell us what has changed. *

It may help to describe the problem as if you were speaking to someone

How long has this been a problem? *

It is helpful to tell us if it has been days, weeks, months or years

Do you have an idea about what is causing the problem?

This might be something that happened or you found around the time your symptoms began

What are the concerns?

How would you like us to help?

Is there a member of staff that you would prefer to deal with the problem?

You may need to wait longer for your preference as it depends on their availability

Upload a photograph or document

Maximum upload size: 8.39MB

How would you like us to deal with the problem? *

Email

Phone

Face to face appointment

Video call

Are there any times when you cannot be contacted? *

Our doctors will decide whether an appointment is the best way to help you. We might need to send you a secure online message or phone you. Please tell us if either of these would be a problem for you:

We might still need to send you a secure online message or arrange a face to face appointment. Please tell us if either of these would be a problem for you:

We might still need to phone you or arrange a face to face appointment. Please tell us if either of these would be a problem for you:

Have you been told when to have the appointment? *

Yes

No

When does the appointment need to be? *

When are you available to have the appointment? *

When are you available to have the appointment in the next 3 weeks? *

The practice can send a text message to your phone with your appointment time. *

I agree to the practice sending me text messages including appointment times

I do not agree to the practice sending me a text message with my appointment time

Terms and conditions *

I confirm that this is not an emergency and understand the surgery cannot help while it is closed. If I need help right now, I will use the NHS 111 service. In an emergency, I will call 999 or go to A&E.

I confirm that I am happy to be seen by a clinician who may not be from my practice.

I confirm that I am responsible for checking my email inbox, including my junk mail, for replies from the surgery.

All options need to be selected

If you are human, leave this field blank.

Mossley Surgery
193 Manchester Road
Mossley
Ashton-under-lyne
OL5 9AJ

Get directions

01457 832590

Greenfield Surgery
6/8 Chew Vale
Greenfield
Oldham
OL3 7EQ

Get directions

01457 832590

Register with the surgery

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