Appointment Request – Practice Nurse

Some of our routine nurse appointments can be booked using this form.

Simply select the reason for the appointment from the list below and forward us your details.  We will send you a text message with either an appointment on the date you requested, or the next available appointment if the date you requested was not available.

  • Please provide 5 working days notice for us to meet your appointment needs most successfully.
  • Please only request a maximum of one month in advance.

Appointment Request

  • DD slash MM slash YYYY
  • Only appointments from the selection below are available for booking in this way. For all other appointment requests please contact the Patient Services Team on 01446 733181
  • Please let us know the date you would like your appointment. If an appointment is not available on this date you will receive the next available appointment.
    DD slash MM slash YYYY
  • We will try to make an appointment during either an AM session or PM session. Please select all if any time of day is acceptable.
  • Court Road Surgery aims to utilise text messages for a number of purposes including, but not limited to: Notification of cancellation of appointments, booking appointments, test results, forms ready for collection, invitations to reviews or clinics. It will be the responsibility of patients to ensure that telephone contact numbers are kept up to date. By completing this form you are consenting to us contacting you by text.