Forms for Patients
Useful forms for you to access and download by clicking title.
1. New Patient Registration form
To be completed by patients wanting to register at SAMC.
1.1 New Patient Registration form - under 15 years of age
To be completed for patients under 15 wanting to register at SAMC.
2. Travel Clinic form
To be completed by patients needing vaccinations.
8. Feedback form
To be completed by patients wanting to send us feedback on our services. (A formal complaint formal is available - see below)
17. Asthma Annual Review
To be completed by patients prior to attending their annual review.
23. Existing Patients access to Online & Additional Services form
To be completed by patients wanting to use StAMC online & other services.
26. Consent to leave telephone messages form
To be completed by patients wanting to give permission for any telephone messages from StAMC to be left with a person authorised by them.
28. Existing patients access to medical records, including online form
31. Complaint procedure and form
Can be completed by a patient wishing to raise a formal complaint.
33. Urine sample form
To be completed by patients leaving a urine sample for testing.