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Welcome to our downloads page. Here you will find commonly used forms and documents that you can download, print off and complete if necessary.

For the latest edition of the Ivy Grove News newsletter, please visit the newsletters page.

To download any of the following documents to your computer, click on the blue arrow download icon or the link itself. All download links open in a new window.

COPYRIGHT NOTICE
All documents are copyright of their respective owners. In-house leaflets, booklets and documents are
© Ivy Grove Surgery and/or © Dr M Wong and may not be reproduced without prior permission.

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Adminstrative forms

download Alcohol questionnaire This is a PDF download

download Blood pressure (BP) monitoring chart This is an excel spreadsheet download (PDF non-calculating version here This is a PDF download)

download Carers identification and referral form This is a PDF download

download Complaints procedure This is a PDF download

download Consent for third party complaint This is a PDF download

download Consent to view medical records This is a PDF download

download Fees for Non-NHS (Private) Work This is a PDF download

See also Forms and Letters Policy below for details on what we do and do not do.

download Fit notes (sick notes or MED 3s) after hospital care This is a PDF download

download Forms and Letters Policy This is a PDF download

download Home Visiting Policy This is a PDF download

Please visit our Home Visiting page for more information.

download New patient registration questionnaire This is a PDF download

download New patient registration form GMS1 (official NHS form) This is a PDF download

To register with us you need to download and complete various forms. For full details, please visit our new patient registration page.

download NHS Patient Transport This is a PDF download

download NHS Spine leaflet This is a PDF download

download Online Access Information Leaflet This is a PDF download

download Online Access Registration Form This is a PDF download

download Online Access Proxy Registration and Consent Form This is a PDF download

download Online Access Guidance This is a PDF download

download Practice booklet This is a PDF download

download Practice Charter leaflet This is a PDF download

download Self-certifying sick note (official HMRC form) This is a PDF download

download Statement of Purpose (required for CQC under Health and Social Care Act 2008) This is a PDF download

download Surgery website information This is a PDF download

download Travel advice form This is a PDF download

download Travel questionnaire This is a PDF download

download Vaccination Fees This is a PDF download

 

Self-help and medical information leaflets

IMPORTANT
The information regarding various clinical conditions shown in various areas of our website and their related external links are provided for your convenience. The information shown is not intended to be a full and comprehensive guide to these conditions, nor is it intended to replace the advice of a dedicated health professional. If you are unsure about your medical condition, please contact your doctor, pharmacist or call NHS 111 (link opens in a new window) on 111 or discover contact details for other organisations.

download Acute Kidney Injury information - sick day rules This is a PDF download

download Antibiotics don't work for viruses This is a PDF download

download Cardiovascular risk - use of statins to prevent heart disease and stroke This is a PDF download

download Choose Well - get the most appropriate source of help This is a PDF download

download Continence Advisory Service (self-referral) This is a PDF download

download Counselling Services in Derbyshire (self-referral) This is a PDF download

download Derbyshire Medicines Management Patient Information leaflets (link)

A range of useful information leaflets on medicines and injuries.

download Diabetes and Hypos - an information leaflet This is a PDF download

download Diabetes and Travel - an information leaflet This is a PDF download

download Diabetes Foot Care - an information leaflet This is a PDF download

download Genito-Urinary Medicine (GUM) leaflet This is a PDF download

download Get the Right Help for Your Condition This is a PDF download

download Home Visits Poster This is a PDF download

download Home Visiting at Ivy Grove - an information leaflet This is a PDF download

Please visit our Home Visiting page for more information.

download How can I tell if my child is poorly - an information leaflet on what to do This is a PDF download

download Minor Illness Leaflet - Sore Throat This is a PDF download

download Minor Illness Leaflet - Earache This is a PDF download

download Minor Illness Leaflet - Urinary Tract Infection (UTI) This is a PDF download

download Minor Illness Leaflet - Thrush This is a PDF download

download Minor Illness Leaflet - Coughs and Colds This is a PDF download

download Minor Illness Leaflet - Diarrhoea and Vomiting This is a PDF download

download Minor Illness Leaflet - Conjunctivitis This is a PDF download

download Minor Illness Leaflet - Minor Injuries and Conditions This is a PDF download

download Minor Injuries Unit (MIU) - conditions that are seen in MIU This is a PDF download

download NHS 111 Information This is a PDF download

download Palliative Care - an information leaflet This is a PDF download

download Physio Direct Service (self-referral) - for back, joint, neck or muscular problems This is a PDF download

download Prediabetes - an information leaflet This is a PDF download

download Podiatry assessment form (self-referral) - hand in to Ripley Hospital This is a PDF download

download Protecting Your Child Against Flu - an information leaflet This is a PDF download

download Shingles Vaccination for those aged 70-79 - an information leafletThis is a PDF download

download Steroid injections - an information leaflet This is a PDF download

download Swine flu - an information leaflet This is a PDF download

download Tamiflu - an information leaflet This is a PDF download

download Using paracetamol after MenB vaccination - an information leaflet This is a PDF download

download Telephone Appointments - information on these and example conditions This is a PDF download

download What Do Our Nurses Do? - an information poster This is a PDF download

download What to expect after Vaccination - an information leaflet This is a PDF download

download When Should I Worry? - guide for parents of children with common infections This is a PDF download

download When Stroke Strikes - Act F.A.S.T. This is a PDF download

download Where to Get Help Poster - other sources of help in the NHS This is a PDF download

download Winter - an information poster This is a PDF download

download Winter - top ten tips on how to cope This is a PDF download

download Why have I been referred urgently to hospital? - your urgent 2 week appointment This is a PDF download

download Northumberland Tyne and Wear (NTW) NHS Foundation Trust leaflets (link)

An excellent series of leaflets on various subjects, including: Anxiety, Anger, Depression, Eating Disorders, Obsessions, Panic, Shyness, Sleeping Problems and Stress

Other documents

download Dr Wong's Letter to the Prime Minister This is a PDF download

download State of General Practice leaflet This is a PDF download

download Picture of UK General Practice leaflet This is a PDF download

(if you are printing the above leaflet in grayscale, this version has more contrast This is a PDF download)

download Crisis in General Practice presentation This is a PDF download

download Ivy Grove News newsletter download page (link)

download Latest minutes from meetings of our Patient Group (link)

download Patient Participation Report 2011-12 This is a PDF download

download Patient Participation Report 2013-14 This is a PDF download

download Patient Participation Report 2014-15 This is a PDF download

download Quality and Outcomes Framework (QOF) results This is a PDF download