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Nurses Services

This service is for non-emergency queries only.
Call 999 or visit your local A&E if you have:

Signs of a heart attack

Pain like a very tight band, heavy weight or squeezing in the centre of your chest

Severe difficulty breathing

Gasping, not being able to get words out, choking or lips turning blue

Severe injuries

or deep cuts after a serious accident

Signs of a stroke

Face drooping on one side, can’t hold both arms up, difficulty speaking

Heavy bleeding

that won’t stop

Seizure (fit)

someone is shaking or jerking because of a fit, or is unconscious (can’t be woken up)

If you have none of these:

Please complete this form if you require an appointment with our Nursing team.

Please note for blood test appointments and cervical screening (smear) appointments contact the surgery on 0116 215 1105 to arrange this. Completion of this form is not required.

Before you start

  • Your GP practice will aim to respond to your query within 2 working days.
  • If your query is not submitted, no details will be sent to your GP.
  • You must be over 16 to use this service, although you may use this service to contact the practice about a person you care for who is under 16.
  • You must be registered as a patient with Victoria Park Health Centre.
  • You must be currently living in the UK.
Nursing Services Request

Please complete this form is your require an appointment with our nursing team, this is for non urgent nursing queries only and will not be reviewed by a GP

Please confirm you understand the statement above *
Are you completing this form on behalf of: *

Patient Details

Patient Title *

Parent / Carer Details

Patient Title *

Nursing Service Required

Terms and Conditions

Although a parent or carer can use this system to contact a GP and seek health advice about under 16s, only people who are 16 years old or over can complete the questions in this service.


This service is intended for electronic communication between you and your Practice. The information may be read by any member of the Practice team and responded to by the most appropriate member of the team. Your Practice will endeavour to respond within the time frame set for this form but will not be able to respond to urgent requests through this service.