Skip to content
Phone
Envelope
Instagram
Routine/Recall Appointment Request
Chevron-circle-left
Routine/Recall Appointment Request
Please select the reason for your appointment
*
Annual recall bloods appointment
Asthma Review
Bloods following consultation with GP/ANP.
Blood Pressure Check
Diabetic Review
Smear
If the reason you require an appointment is not listed please contact the practice and speak to a member of staff. Please be aware appointments for a GP or an Advanced practitioner cannot be made using this form.
First Name
*
Last Name
*
Email
*
Enter Email
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
Telephone number for us to contact you
*
Please tell (in less that 50 words) the reason you have been invited to make this appointment?
*
Please select which practice you would prefer to attend.
*
Barclay Medical Practice – University
Barclay Medical Practice – City
Barclay Medical Practice – Maryhill
Please select your availability for scheduling an appointment
*
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
We will do our best to accommodate your availability, but we cannot guarantee an appointment at your preferred time.
Please select your availability for scheduling an appointment
*
Tuesday AM
Monday AM
Monday PM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
We will do our best to accommodate your availability, but we cannot guarantee an appointment at your preferred time.
Please select your availability for scheduling an appointment
*
Wednesday AM
Wednesday PM
We will do our best to accommodate your availability, but we cannot guarantee an appointment at your preferred time.
Tick box to confirm this is a non urgent issue
*
I confirm
Privacy Policy
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our
Privacy Policy
to discover how we protect and manage your submitted data.
*
I consent to the practice collecting and storing my data from this form.
CAPTCHA
Send
If you are human, leave this field blank.