Opening Times | Self Help | Contact Us | | CQC Rating Good OUR ROOMS HOW DO I...? NEWS EVENTS TRANSLATE Search HOME ONLINE FORMS INDEX Online Forms Index BACK TO MAIN INDEX Please do not use these forms to send any urgent clinical infomation, use the eConsult system instead. ONLINE CONSULTATION Use our eConsult online portal to self-check your symptoms and receive medical advice 24/7 UPDATE CONTACT DETAILS Use this form to update your contact details. JOIN THE PATIENT GROUP We are keen to seek patients' opinions on Practice developments and review ideas for service improvements. UPDATE CLINICAL RECORD Use the eConsult system to update your medical records TRAVEL QUESTIONNAIRE Send us your trip dates, itinerary, medical history, vaccination history before your trip. ALCOHOL QUESTIONNAIRE Provide us with your alcohol consumption information so we can update your record. ASTHMA QUESTIONNAIRE When were you diagnosed with Asthma? Do you have sleeping difficulties? TEXT AND EMAIL CONSENT GDPR is a new law that determines how your personal data is processed and kept safe, and the legal rights that you have in relation to your own data. REGISTER WITH A GP Use this form to register with a General Practitioner Online Forms Use our comprehensive list of online forms to Contact the practice, update your address details, join our patient group, update your clinical record and much more. ST. MARY'S SURGERY 1 Johnson Street Southampton SO14 1LT Out-Of-Hours: 111 TELEPHONE HOUSE SURGERY 70-75 High Street Southampton SO14 2NW Out-Of-Hours: 111 FRIENDS AND FAMILY TEST The NHS want you to have the best possible experience of care. Please give your feedback. FRIENDS AND FAMILY TEST WHAT IS eCONSULT Terms of UseCookiesMedical DisclaimerAccessibility Statement © Tree View Designs Ltd 2021 We use cookies to help provide you with the best possible online experience. By using this site, you agree that we may store and access cookies on your device. Find out about our cookies. ACCEPT ALL COOKIES SHOW OPTIONS

Opening Times | Self Help | Contact Us | | CQC Rating Good OUR ROOMS HOW DO I...? NEWS EVENTS TRANSLATE Search HOME FEEDBACK INDEX Feedback Index BACK TO MAIN INDEX LEAVE FEEDBACK SEE OUR REVIEWS CQC REPORTS GP PATIENT SURVEY FRIENDS & FAMILY TEST ST. MARY'S SURGERY 1 Johnson Street Southampton SO14 1LT Out-Of-Hours: 111 TELEPHONE HOUSE SURGERY 70-75 High Street Southampton SO14 2NW Out-Of-Hours: 111 FRIENDS AND FAMILY TEST The NHS want you to have the best possible experience of care. Please give your feedback. FRIENDS AND FAMILY TEST WHAT IS eCONSULT Terms of UseCookiesMedical DisclaimerAccessibility Statement © Tree View Designs Ltd 2021 We use cookies to help provide you with the best possible online experience. By using this site, you agree that we may store and access cookies on your device. Find out about our cookies. ACCEPT ALL COOKIES SHOW OPTIONS