Reception: Minor Operation Request

Please complete this form if you are interested in potentially having a minor procedure at the practice. This may involve an initial telephone consultation to check your suitability.  

Please note that for there are certain criteria depending on the lesion as to whether we will be able to assit you. This is assessed on a case by case basis. Please note we are NOT allowed to complete minor procedures for cosmetic reasons. 

If you would like to send a photo of the issue please select the option below. We will then send you a text message which you will be able to reply & attach a photo to.
Please do not write any clinical queries on this form. Any clinical queries or request for appointments via this form will be discarded. To make an appointment either book online via the NHS app/Patient access or by calling reception. We will start to process your form by the next working day but it will take up to 3 working days to complete. Please DO NOT call before 3 working days as you will not receive a status update from reception or the administrative team. If you are NOT a registered patient then your form will be discarded. This service is only for patients registered at the surgery aged 16 and over; and for parents or legal guardians of children. Forms must be completed in the UK due to GDPR regulations.
Reception: Minor Operation Request
If no known allergies write 'None'

Please note: if you experience a fever (>37.8C) or a persistent cough (>4 hours) do not attend your appointment at the surgery. Instead cancel your appointment and self-isolate for 7 days. Visit out Coronavirus page for more information. https://www.clmp.org.uk/Information-Zone/Coronavirus-Navigation-Hub


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Local Services, Let
Local Services, Let