Patient Forms/Leaflets

Midwife Booking Form

UHL Midwife Booking form

Contraception

Review for women taking Oral Contraceptive Pills, Please ring the surgery to book an appointment:-

Podiatry

Podiatry Assessment Application

Road Traffic Accident Statement

Road Traffic Policy

Ear Wax Patient Information Leaflet

Ear Wax Leaflet

Wart & Verruca Leaflet

Warts & Verrucas Leaflet

Chronic Kidney Disease

Chronic Kidney Disease 

Links to useful Websites

Statutory Sick Pay (SSP) – SC2 – Self certification For SSP purposes, an employer is not entitled to ask for a medical certificate, signed by a doctor, for the first seven days of absence from work due to incapacity. The employee is only required to notify the employer of the incapacity and provide self-certification of their incapacity, in writing.

Form SC2 is available for this use, or the employer may provide employees with their own form or accept a letter giving the information they require in order to consider SSP entitlement.

You can obtain these from the surgery, alternatively click on the link.

NHS Choices Website – Falls Advice on Falls & How to prevent them
Safe + Well
First Contact Plus – Falls

Health for Under 5’s

Leicestershire Partnership Trust have now launched their new website for parents and carers – Health for Under 5s.  This is a brilliant resource for parents and carers from pregnancy through to toddler aged children. The website can be found at: www.healthforunder5s.co.uk