The GP Clinic

DOCTORS ARE NOT ONLINE: We are taking a short break for the holidays. See you in 2025!

Specialist Referrals

10 min

£45 GBP

Speak with a registered UK practitioner
Receive general advice, a specialist referral
Open 7 days a week - 6am to midnight BST

Please note, your Partner Practitioner is unable to prescribe controlled substances under the Misuse of Drugs Act 1971.

Select a Date

Your Details

Full Name *

First Name

Last Name

Email *

Mobile Number *

Date of birth *

Sex *

Male Female Prefer not to say

What is your address?

(e.g., 49 ABC Street, London, XY1 Q23, United Kingdom)

What is your NHS number?

(N/A if you don't have one)

Please share specific details about your condition and symptoms.

Please also provide info on any existing conditions, medication, allergies, and surgical history.

Describe your current medical condition or health concern.

When did you first notice the symptoms or the condition began?

Have the symptoms improved, worsened, or remained the same since their onset?

Please provide detailed information about the symptoms you are experiencing.

Are there any specific triggers or factors that exacerbate your symptoms?

How does your medical condition affect your daily life, including work, activities, and overall well-being?

Are there any specific concerns or challenges related to your condition that you would like to address in the referral?

Do you believe you need to see a specialist for your condition? *

Yes No

How soon do you think you need to be seen by a specialist?

Have you received any previous treatment or medical care for this condition? *

Yes No

Do you have any relevant medical records, test results, or documentation related to your condition?

Yes No

Are you currently taking any medications or undergoing any treatments for your condition? *

Yes No

Is there any other relevant medical information or specific concerns that you would like to share with the GP for the referral?

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124 City Road, London, EC1V 2NX

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Specialist Referrals

10 min

£45 GBP

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