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Useful forms for patients

We have put together some forms which you might find useful in referring yourself directly to a local clinic such as physiotherapy or podiatry or dietician.

Physiotherapy referral

Podiatry (foot care) referral

Nutrition and Dietician referral

If you have Type II diabetes AND ARE A REGISTERED PATIENT WITH OUR PRACTICE your GP would also like to offer you a free online programme to help you manage your diabetes.  It is called 'Help Diabetes' and more information can be found here:

Help Diabetes patient registration

Carers who would like more information on how to self-refer for support and advice can contact Islington Carers Hub on 0800 085 1141 or 0207281 3319 or e-mail:

If you would like free confidential help with issues of stress, worry, depression more information is available on the iCope website at and by reading their leaflet:

iCope service