Blackheath Medical Centre - Enquiries & Messages

You can use this form to enquire about the results of investigations, progress of referrals or other aspects of your care.

Privacy Warning

This message is sent through the standard internet email service.  Many of you will know that standard internet email is not a secure way to exchange messages.  For this reason, this form only sends the first three letters of your surname & first name. Please do not include your address anywhere in your messages and please do not include any very personal or sensitive detail in your message.
What is your unique practice number ?
(Find it on the top right of your prescription counterfoil)
Or, enter the 1st three letters of your surname & first name

Surname   First Name
(required only if you do not know your unique practice number)
Date of birth ('dd/mm/yy' format please) (required)
Your e-mail address (required)
What is your message about, or who is it for? If "other"
Your message

 Thank you for using this service.

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