Suspected urinary tract infection questionnaire

Use this service to submit a questionnaire if you have a suspected Urinary Tract Infection.

Please ensure you also give in a white topped sample bottle.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on 01384 254423 or visit the surgery in person.