homedownloadsenquiries@ctonlineclinic.com
request an appointment
Please fill in this form to request an appointment with a Clinica Tarraula doctor.

Our consulting hours are:

Monday to Friday 08.30 – 20.00
Saturday morning 09.00 – 13.00

How To Find Us

To check the availability of the doctor of you choice please consult the Clinic Timetable

As soon as we can confirm your appointment we will e-mail you back confirming that

  • the Doctor you have chosen is available that day and
  • the clinic of your choice and
  • the time.

If this is a first visit please let us know if you require more detailed instructions as to how to find the clinic of your choice.

Personal Details:
Forenames:
Surname:
Telephone:
Registration Number:
(if known)
Initials:
Date of Birth:
Email:
Appointment Details:
Dr of choice:
Nurse of choice:
Appointment Date :
Appointment Time:
Alternative Date :
Alternative Time:
Type of Appointment with Doctor:
Please selectRoutine consultation
Follow- up consultation
Acupuncture
Injection
Medical  - insurance, UK HGV, pre-school, diving
Health Screening – Health , Heart, Well Man, Well Woman, Prostate. Please indicate below
Minor Operation –removal of moles, solar keratoses, sebaceous cysts etc

Other requests or health screening clinic required:
Type of Appointment with Nurse:
Please selectBlood tests
Blood Pressure Check
Change of dressing
Removal of stitches
ECG
Routine Injection – ‘flu, pneumonia, tetanus, contraceptive
Travel vaccinations
Osteoporosis screening

Other:
Please supply any other information, if relevant, regarding reason for appointment