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Is this appointment for you?

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Salutation

MrMrsMsDr

Date of Birth*

Have you been a patient of our practice before?

YesNo

Which type of appointment do you require?*

Private GP 15 minute consultation*Private GP 30 minute consultation**STD/ HIV test/ Sexual Health ClinicOther

  * 15 min appointment: Existing patients only for repeat prescriptions, prescription fee excluded.
** 30 min appointment: Standard appointment for all new or existing patients.

To help us process your appointment request as quickly as possible, please let us know the payment method:*

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