Tell us whether you accept cookies

We've put some small files called cookies on your device to make our site work. We would also like to use analytical cookies to understand how our site is used and improve user experience. Analytical cookies send information to Google Analytics.

Let us know your preference. We will use a cookie to save your choice. Before you make your choice you can read more about our cookie policy.

East Norwich Medical Partnership NHS GP Surgery in Norwich

COVID vaccination request

COVID Vaccination Request

Section

Eligibility

This is for patients registered with East Norwich Medical Partnership.

Availability

This is for a COVID-19 vaccination. COVID-19 vaccination clinics are run on Monday to Saturday.

Please tick which vaccination centres you could get to:

Gurney Surgery

Lionwood Medical Practice

Bowthorpe Health Centre

Please tick which days you could attend for a vaccination:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Please specify your preferred time:

AM (08:00-10:00)

AM (10:00-12:00)

PM (12:00-14:00)

PM (14:00-16:00)

PM (16:00-18:00)

Ethnicity

Please specify the ethnic group you consider you belong to: *

White British

White Irish

Black Caribbean

Black African

Black Caribbean and White

Black African and White

Indian

Pakistani

Bangladeshi

I do not wish to state

Other ethnic group

Please specify: *

Terms and Conditions

I am able to attend at short notice (could be less than one hour’s notice) if vaccine becomes available

The best contact telephone number is:

I would like a COVID-19 vaccination but I cannot attend on the given dates

I confirm that I do not want a COVID-19 vaccination

I accept that the above are preferences and that the practice cannot guarantee I will be booked into my chosen slot

If you are human, leave this field blank.

Sprowston Primary Care Centre
Aslake Close
Sprowston
Norwich
NR7 8DG

Get directions

01603 778277

Thorpe Health Centre
St. Williams Way
Thorpe St. Andrew
Norwich
NR7 0AJ

Get directions

01603 778277

Feedback and complaints

Wellbeing

Accessibility statement

Website policies