Please fill in this form to request a Skype video consultation appointment with your doctor.
Normal appointment times are:
Monday to Friday 10.00am - 6.00pm.
However we may be able to accommodate other times on specific request.
We will e-mail you back with confirmation of the time and date of your appointment:
N.B
*
Indicates complusory information
Firstname
*
Surname
*
Password
(If member)
PIN
(if member)
E-mail Address
*
Telephone No.
*
Appointment Date
*
Appointment Time
*
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
Alternative Date
Alternative Time
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
Brief Summary of Reason for Appointment
N.B
*
Indicates complusory information
Search e-med Site
e-med is NOT an emergency service. If you need immediate medical assistance, please dial 999 or visit your local A&E department.