Request Test Results Form - Welcome to Collingham Church View Surgery

Test Results Request

We are trying to improve the ways you can receive your test results. We hope to have some results available for you online/using this website. Please note, we request that you do not assume that a result is normal if we do not contact you. The surgery will contact you if there is a significant problem with your results, but please contact us for all results as the GP may have made some suggestions or advice based on your results even if there is not a significant problem. In future you may wish to register for online services to have the ability to Book or Cancel an Appointment, Request a Repeat Prescription, Change Personal Details and View your Medical Records without visiting the practice.

Your Details

Name *

Date of Birth *

Phone Number

Email Address *

Test Results Request

TEST DATE *

WHAT TYPE OF TEST RESULTS ARE YOU WAITING FOR? *

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.

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Page last reviewed: 25 September 2019
Page created: 15 January 2021

Test Results Request

Test Results Request

Further Information