Routine GP Appointment Request

If you wish to make a routine appointment with a GP, please complete the following form. A GP appointment or booking link will be provided by SMS/email.

Routine GP appointments are available up to 4 weeks in advance. During times when we have no GP appointment availability, a booking link will be sent on the Friday when our next appointments get released.

If you require urgent care, please use our online access form or if unable to complete, contact Reception on 01938 553 118 and we will complete the form on your behalf.

Your Details

HOW WOULD YOU PREFER TO BE CONTACTED REGARDING THIS REQUEST *

Text message

Name *

First Line of Your Address *

Postcode *

Date of Birth *

Phone Number *

Email Address *

Please confirm email *

Appointment Details

THIS FORM IS FOR ROUTINE APPOINTMENTS ONLY *

I confirm that I am not requiring an urgent appointment via the triage service

I would like my appointment to be a *

Telephone call (these calls are typically made late morning)

Face to face

Telephone or face to face

IF YOU HAVE A PREFERENCE WITH WHICH GP YOU SEE, PLEASE LIST below

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data. *

I consent to the practice collecting and storing my data from this form.

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Page last reviewed: 02 February 2026
Page created: 11 April 2022

Cookies on the Welshpool Medical Centre website