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Mosslands Medical Practice NHS GP Surgery in Manchester

Get help for any health problem

Get help for any health problem

About the Patient’s Problem

Please tell us about the problem. For example, what are your symptoms? *

How long have you had these symptoms? *

If you’re not sure, it’s helpful to tell us whether it’s been days, weeks, months or years.

Have you tried any self help/treatment? *

Have you attended your local pharmacy? *

Yes

No

Do you have any ideas about what is causing the problem? (Optional)

What are the concerns? (Optional)

How would you like us to help? (Optional)

How quickly do you think the problem needs to be dealt with? *

Routine

Same day

Why do you feel your condition needs to be seen today? *

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

Online message sent through your email

Telephone

Face to face appointment

Online message sent through your email

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:

Telephone

Are there any times today when you would not be free to receive a phone call?

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:

Face to face appointment

Are there any times today when you would not be free for an appointment?

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:

Video Consultation

I am willing to accept a video consultation

Video consultations require you to have a smartphone, tablet, laptop or any computer with camera and microphone or headset. You will also require access to the internet, preferably over WiFi. If the practice decides on a video consultation you will be sent an email containing a link for the video consultation, so it’s best if you can receive your emails on that same device.

Is there a member of staff who would be best to deal with this problem?

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 & Conditions *

I confirm that this problem is not an emergency. I understand that the practice will not deal with this problem while the practice is closed.

If the problem worsens and may require immediate help, I will visit NHS 111 Online or call 111. In an emergency I will call 999.

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Irlam Medical Centre
MacDonald Road
Irlam
Manchester
M44 5LH

Get directions

0161 776 0737

Longfield Lodge Surgery
Liverpool Road
Cadishead
Manchester
M44 5DX

Get directions

0161 776 0737

About the surgery

Register with the surgery

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