Ask a nurse a question form Use this service to ask a nurse a non-urgent medical question Who are you completing this form for? Yourself Someone else Your Name First Last Date of BirthDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address Postcode Phone NumberEmail Named GP (if known): OptionalYour question:Conformation I confirm that my enquiry is not urgent, and it may take up to 2 working days before I receive a reply. If you are human, leave this field blank.
