Forms and Self Referral

Your clinician may ask you to provide us with medical information or ask you to self refer to a service.

Please see the information below.


Home Blood Pressure Monitoring

Print this form, complete and return to reception or email to the practice via [email protected].

Self Referrals

Join the Dots

Join the Dots is a support and information service to help improve health and wellbeing for people aged 18+ who have or have had a cancer diagnosis, their family, friends and carers.

JTD Leaflet and Contact Details

Physiotherapy Assessment

The physiotherapists are now offering assessment appointments to any patients with new problems. You do not need to see the GP to make an appointment.

Please ask for a form at reception or you can download the form below.

Once you complete the form you can hand it to reception or email it to [email protected] or post to: AHP Central Appointments, Merrington House, Merrington Lane Industrial Estate, Spennymoor, DL16 7UT

You will be contacted directly by the Physiotherapist. If you need more information pick up a leaflet from reception.