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Victoria Gardens Surgery NHS GP Surgery in Neath Port Talbot

Routine appointment request

Request a Routine Appointment

Section

Appointment required (tick all that apply):

Blood pressure check

Vaccination

Asthma review

COPD review

Diabetes review

Wound management/dressing

Cervical smear

Family planning or sexual health advice

Which vaccination do you require? *

Cervical smear: *

I know that cervical smear is due now.

I am not sure when cervical smear is due. Please check records.

Have you been told when to have the appointment, for example, “in the next two weeks” or “in one month’s time”? *

Yes

When does the appointment need to be? *

Tell us when you are available to have an appointment: *

Tell us when you are available to have an appointment in the next three weeks: *

Can we send a text message with your appointment time? *

Yes

I understand that the practice may need to send me a secure online message about my appointment. I will check my emails.

If you are human, leave this field blank.

Victoria Gardens
Neath
Neath Port Talbot
SA11 1HW

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01639 643 786

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