Albany House Surgery

Quickly and safely get help and advice from your own doctor and GP practice online from anywhere.

Referral Request Form

As your referral was not list under self referrals, please use this form to request the referral you need.

Please give as much information as you can as this will assist us in processing your request.

Referral Request
Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.