Cervical screening (smear tests)

A smear test is a simple procedure that only takes minutes and is the most effective way to detect changes in the cells of the cervix.

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Name

First

Last

Phone

Date of Birth

Who do you Wish to See

Reason for your visit

i.e. smear, blood test, driving licence, Implanon removal etc

Please can you indicate the reason for seeing the doctor and/or the nurse.
This is so we can allocate the appropriate time to your appointment.

Are you already registered with the practice

Yes

Preferred Date *

Preferred Time

Note: Our telephone lines are open from 9AM, Monday to Friday, and the reception team can help you with appointment bookings and general enquiries - phone 021 4963792. Appointment requests are ONLY processed during normal opening hours. An appointment request submitted after 5pm on Friday will not be processed until after the weekend. A submitted appointment request does not mean that an appointment has been made for you.
Your appointment will be confirmed by email or phone by City South GP

Any urgent appointment request should be made by phone not by email.

Date