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Leacroft Medical Practice NHS GP Surgery in Crawley

Get help for any health problem

About the Patient’s Problem

Please tell us about the problem. If the practice is already aware of this problem, please tell us what has changed. *

How long has this been a problem? *

If you’re not sure, it’s helpful to tell us whether it’s been days, weeks, months or years.

Do you have any ideas about what is causing the problem? (Optional)

What are the concerns? (Optional)

How would you like us to help? (Optional)

How would you like us to deal with the problem? *

Online message sent through your email

Telephone

Face to face appointment

Online message sent through your email

We might still need to phone you or arrange a face to face appointment. Please tell us if either of these would be a problem for you:

Telephone

Are there any times today when you would not be free to receive a phone call?

We might still need to send you a secure online message or arrange a face to face appointment. Please tell us if either of these would be a problem for you:

Face to face appointment

Are there any times today when you would not be free for an appointment?

Our doctors will decide whether an appointment is the best way to help you. We might need to send you a secure online message or phone you. Please tell us if either of these would be a problem for you:

Video Consultation

I am willing to accept a video consultation

Video consultations require you to have a smartphone, tablet, laptop or any computer with camera and microphone or headset. You will also require access to the internet, preferably over WiFi. If the practice decides on a video consultation you will be sent an email containing a link for the video consultation, so it’s best if you can receive your emails on that same device.

Is there a member of staff who would be best to deal with this problem?

What time of day would be best for an appointment if you need one? *

I can be flexible – any time

08:00-12:00

12:00-16:00

After 16:00

We cannot guarantee to give you an appointment at this time, but we will do our best to meet your needs. Please do not call us to chase your appointment or phone call – our doctors review everything on the same day and will respond as soon as they can, dealing with the most urgent requests first.

The practice will confirm the time slot for your appointment. *

I agree to the practice sending me text messages including appointment times

I do not agree to the practice sending me a text message with my appointment time

Terms & Conditions *

I confirm that this problem is not an emergency. I understand that the practice will not deal with this problem while the practice is closed.

If the problem worsens and may require immediate help, I will visit NHS 111 Online or call 111. In an emergency I will call 999.

If you are human, leave this field blank.

Langley House
Langley Drive
Crawley
RH11 7TF

Get directions

01293 574747