Use this service to:
- confirm that the appointment is suitable
- tell us the appointment is unsuitable – this may mean a significant time delay in receiving your vaccine
- decline to have the Covid-19 vaccination
Please do not attend a vaccination session if you have Covid-19 symptoms, as set out by the NHS.
You can use this service if you:
- are registered at the surgery
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
You can also phone us on 01242 539080.
