C.O.L.S. Assist - our "on-line" assistant for current patients during my reduced working hours

Dear Patient,

Following my knee surgery my surgery will be operating 3 days each week. An answerphone message at the surgery will tell you the next opening hours. If you have a more urgent enquiry, need repeat prescriptions, pathology & imaging request forms, results or need an appointment please call when we are open. If this is inconvenient then feel free to use this COLS Clinic Assist form. Please provide the necessary record and contact information, and your requirements, and we will attempt to get back to you quickly.

Use the form below as the quickest way of obtaining a response. If you have any questions, don't hesitate to Contact The surgery.

Medical Record & Contact Information

Surname:
First Name:
Date of Birth:
Email Address:
Record Address:
Phone:

Prefered Contact
Method: Email Post
Phone I will contact Surgery

Your Request

Script - please supply name of item and dose taken
Test Request Form - Please supply test requested and service provider
Results - please supply type of test(s) and service provider(s)
Advice - Please give details of advice needed
Appointment - Please provide some details to allow urgency to be assessed

Details

Please provide enough information (as above) to allow me to help you