65 or over? Get your free flu jab. Ask your GP surgery or pharmacy about it today. https://t.co/AMDl53rRY7 https://t.co/y2NFJprA4S
RT @MattHancock: A great step forward for the NHS tech ecosystem https://t.co/4IFXNc9bJz
If you don't get regular exercise, running 5K might sound as impossible as climbing Mount Everest. The NHS Couch to… https://t.co/pYBxz8E0pH
Keep asthma symptoms at bay this winter. Always keep your reliever inhaler with you: https://t.co/4uSZqnNzjw https://t.co/VhWOxWByzP
It's not unusual to hear people blame their weight gain on a slow metabolism. Could the culprit be a slow metabolis… https://t.co/xGQQugUYe9
RT @NHS: #HelloMyNameIs Gregory, a Vascular & Interventional Radiology Fellow @OUHospitals. Interventional Radiology is a form of minimally…
Winter can be bad for our health but there are things you can do to help you and your family #StayWellThisWinter.… https://t.co/NYdZrlu5PZ
Keeping warm indoors and outdoors is important to help prevent serious health problems. See more advice on how to… https://t.co/a7bmmo4Mol
RT @amelia_tickell: Today my class, Year 10 set 1 of @WGS_Science recreated the NHS Antibiotic awareness advert. What do you think 👩🔬💊🔬…
The Dementia Information Service is an email service that can support you if you have just found out, or accepted,… https://t.co/JkfOehTKzS
You can register online:
Alternatively you can download the registration form here. Once completed please bring it into the surgery.
Alcohol - alcohol use can affect your health and can interfere with certain medications and treatments. Yours answers will remain confidential so please be honest.
Do you have, or have had any serious health problems (including operations/long term conditions)?
If yes, please hand in at Reception. If no then list below any current medication you are taking and make sure you show Reception all your medication in its original packaging and labelling. We may need to contact your previous GP surgery to confirm your medication.
Have any of your immediate relatives (brothers/sisters/parents) had any of the following?
The doctor may discuss with you the possibility of transferring your care to a local hospital
If yes, please complete details below
How would you describe your ethnicity?
Please provide details of all vaccinations (including dates)
If taking repeat medication
If you have COPD/Asthma
If you have Diabetes
If you have heart disease or high blood pressure
If you want to quit smoking
If you are under hopsital care
Appointment with GP required
Appointment with Nurse required
Appointment with Nurse or Health Care Assistant required
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 known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
I consent to my information being used for the purposes described above and wish to submit this online form to New Islington Medical Practice • Ancoats Primary Care Centre, Old Mill Street, Manchester, M4 6EE.
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.
Loading...