Reasonable adjustments request

Use this service to request reasonable adjustments. Your responses will help us provide the necessary support tailored to your needs.

The surgery will contact you if more information is needed.

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

Start now

You can also phone us on 01384 271 241 or visit the surgery in person.