Your Personal Details

Please use this form to contact us with any changes to your personal details. This includes your current address and telephone number. You may leave these fields blank if you don't wish to answer them.

 
 
 
 
English Arabic Bengali Mandarin Hindi
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  Other (please specify)
  I require a language interpreter.
 
Please tick all that apply.
 I am registered blind  I am registered partially blind
 I am deaf
 I require a BSL interpreter
I require a Makaton interpreter
 
Employed Unemployed
  Unfit for Work Student
  Housewife / Househusband Retired
 
Does any of your immediate family (parents, brothers or sisters) have the following?
 Diabetes
 Heart Disease / Heart Attack / Angina
 Stroke or Transient Ischemic Attack(TIA)
 Cancer
 
Height: Weight:
Smoking Status:
Smoking Status:
 

For patients over 45 years old, we would recommend a blood pressure reading at least every 5 years.

If you have not had your blood pressure checked for a while, please do make an appointment at our Blood Pressure clinic.

 

Maryfield News

DROP-IN FLU CLINIC

Are you 65 or over? Do you have a long term health problem?

We would like to welcome you to our drop-in flu clinic on Saturday 29th September 08:00 to 12:00

There is no need to book an appointment for this drop-in clinic.

 

Patient Services Online

You can now manage your appointments and prescriptions online with our Patient Online Services. Please click here for more information and how to register.

 

Registration Closure Period

The practice is currently closed to new patient registrations of both a permanent and temporary status.
Emergency / necessary care: The practice will, of course, continue to see any patient or non-patient requiring immediate and necessary care. We will provide a clinical assessment for these patients/visitors and advise accordingly.

Bloods Clinic
Please note that the morning phlebotomy clinic in the morning will move from a drop-in to booked appointments only starting Monday 13th March. You should only need to book an appointment at the blood test clinic if the doctor has instructed you to do so, or you are due for a Chronic Disease Management (CDM) review.  Nurse will no longer take bloods unless they have been approved by a GP.