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Practice Forms to Download

PRACTICE FORMS TO DOWNLOAD

Here you will find a variety of forms to download and complete that are not covered in the other pages.

CONSENT TO COMMUNICATE

Click here to download our Consent to Communicate form.

RECEPTION VACANCY APPLICATION FORM

Click here to download Reception application

FRIDGE FLYER

This form is designed to be printed off and stuck to your fridge or noticeboard. It has all the local pharmacies, walk in centres and out of hours telephone numbers along with our surgery number. It should assist visitors/carers in finding help should they need to do so quickly. Please click HERE to download a copy.

TRAVEL HEALTH QUESTIONNAIRE

If you require advice on travel and which vaccinations are appropriate for the country you are visiting, please download our Travel Questionnaire form by clicking HERE. The form should be handed in at least six weeks prior to travel as vaccinations take time to become effective.

HOME BLOOD PRESSURE MONITORING/RECORDING

We understand some patients are anxious when having their blood pressure read so keep a record at home. Please help us to keep your medical records up to date by sharing your home readings with us. You can download a form by clicking HERE to record your blood Pressure.

CHANGE OF DETAILS

Please let us know of any changes to your details such as contact numbers, address and name changes. You can download a form by clicking NOTIFICATION OF CHANGE OF DETAILS.docx to do this.

SELF CERTIFICATION

A “self-certificate” is used for the first six working days (ie one week including Sunday) of any illness. The form SC1 is available from the Practice, your employer or the Post Office or you can download it by clicking HERE. Whilst we do not normally issue doctors' certificates for this period, a private certificate can be obtained for a fee. After the first week certificates are obtained from your doctor.

SELF-REFERRAL FOR ON-LINE THERAPY

It has been difficult for people who are feeling stressed, anxious or depressed to get help in a timely fashion. IESO Digital Health are working with the NHS to help people access therapy sooner. You can self-refer to this service or be referred by your GP. You will need a computer with internet access. Further information is available by clicking HERE

CHARGES FOR NON-NHS SERVICES

For information on why we charge for some services and what we charge click HERE

Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home? Sunbury Nursing Home Ltd Robins & Day
Shepperton Court Drive, Laleham Road, SHEPPERTON, Middlesex, TW17 8EJ
  • Telephone 01932 220524
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home? Sunbury Nursing Home Ltd Robins & Day
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