Skip to content
New website for Victoria Park, Clydeside and Kingsway Barclay Practices.
Phone
Envelope
Contact the Practice
Chevron-circle-left
Message Us
Type of Query
*
Suggestion
Compliment
Question
Complaint
Other
First Name
*
Last Name
*
Email
*
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
Phone Number
*
May we contact you by text message in relation to your appointments or healthcare?
*
Yes
No
Your phone number for text messages (this must be a UK number)
*
Message
*
*
I confirm that my enquiry is not urgent, and understand it may take up to 5 working days or more before I receive a reply.
*
I am aware i cannot make an appointment using this form and any appointment requests will not be actioned.
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.
*
I consent to the Practice collecting and storing my data from this form.
If you are human, leave this field blank.
Send