Coppull Medical Practice, 5 Acreswood Close, Coppull , Chorley, PR7 5ENTel: 01257442524
Please find below some of our practice forms and leaflets, you can open them by clicking on the blue text. These are also available to collect from reception.
Family planning services
family_planning_clinics.docx
Carers identification form
CARERS_IDENTIFICATION_FORM.docx
Travel vaccination form
Travel Vaccination Form
Update details form
Patient_Form_-_are_my_details_up_to_date.doc
Consent leaflet
Consent patient information leaflet
Chaperone Leaflet
CHAPERONE_leaflet.docx
ECG Leaflet
ECG information leaflet
24 hour blood pressure leaflet
PT_LEAFLET_24_HOUR_BP.rtf
Minor Surgery Leaflet
Minor_surgery_patient_leaflet.docx
Cryotherapy leaflet
Cryotherapy_patient_leaflet.docx
Information regarding bringing your child for their immunisations
Childhood Immunisations Leaflet
Complaints information leaflet
GDPR Privacy Notice
GDPR Privacy notice
GDPR privacy notice - large print
Access to your health records
Access to health records leaflet
Access to health records leaflet - large print
Online services record access - information leaflet
Online services access to record - patient leaflet
Online services access to record - patient leaflet - LARGE PRINT