Book an appointment

  • Please provide as much information as possible on the form. The form cannot be submitted without the mandatory information marked with an asterisk (*).
  • Please enter your full name
  • Please enter the first line of your address or the name of the building you live in.
  • Please enter the second line of your address
  • Please enter the name of your closest town or city
  • Please enter your postcode
  • Please choose the date for your appointment.
    MM slash DD slash YYYY
  • Normal consultation times are: 7.30am - 6.00pm
  • Please enter a second choice for your appointment Date and Time (optional)
  • By submitting this form you agree to Dr Susan Horsewood-Lee saving your personal information for the purposes of dealing with your request or enquiry. You can read our Data protection policy here.
  • This field is for validation purposes and should be left unchanged.