The Muswell Hill Practice

Dr P Christian Dr T Gerrard Dr A Sutton Dr N Manttan

Patient Agreement

Dear Patient,

Thank you for registering at The Muswell Hill Practice. We welcome you here and aim to provide a high standard of service to all our patients. In order for us to maximise the service we are able to give, we request that patients agree to the following:

  1. To attend appointments punctually and to cancel any appointment with at least 24 hours notice if unable to attend. This means we can usually offer the appointment to another patient.
  1. To check in at either the reception desk or our self check in screen on arrival in the building.
  1. To remember that home visits are for housebound patients or patients who are too ill or frail to attend the surgery. A doctor will always assess the situation before making a decision to visit.
  1. To use the Out of Hours service only if the problem cannot wait until the surgery re-opens. This means genuine urgent problems only.
  1. To request an urgent appointment only for the treatment of genuinely urgent matters that require immediate medical treatment. Routine matters should not be considered within these consultations.
  1. To attend Accident & Emergency for accidents or real emergencies, not for minor ailments or routine medical reasons.
  1. To inform the practice of any changes in name, address, email or telephone number.
  1. To order your repeat prescriptions in plenty of time so that you do not run out of medication. Where possible you should always use the green slip from your last prescription. Repeat prescriptions take 2 working days to process and cannot be requested over the telephone. Our preferred method is through Electronic Prescribing Service.
  1. To respect our staff and agree not to behave in an abusive, threatening or aggressive manner. Patients will be warned should this happen and it may result in a removal from the practice list.

I acknowledge that I have read and understood the patient agreement.

Name: ……………………………………………………….

Signed: ………………………………………………………

Date: …………………………………………………………

Questions to help you use our services

  1. Do you want to receive text reminders to mobile telephones about appointments and other information?

Yes please No thanks

  1. If over 15 years old, do you want to use a service called Patient Access where we are able to offer patients the ability to book routine appointments, order repeat prescriptions on-line and see parts of your medical file?

You can collect the form at reception after3 working days once you have registered.

Yes please No thanks

  1. We have a great patient participation group. Would you like to be a part of it? It can be either in person at meetings or through email contact? We’re particularly looking to increase our membership from younger patients.

Yes please No thanks Email ……………………………

  1. Can we have your email address?

Email …………………………………

  1. Would you like to receive our quarterly newsletter by email?

Yes please No thanks