Documents and Forms
Documents
Printable version of the Long Lane Medical Centre 'Information for Patients' booklet
Long Lane Medical Centre Complaints Procedure
Long Lane Medical Centre Complaints Procedure (3rd Party)
Long Lane Medical Centre Confidentiality Policy
Long Lane Medical Centre Printable A4 location map
Long Lane Medical Centre Newsletter Issue #1
GDPR
Privacy Notice – National screening programs
Privacy Notice - Public Health
Privacy Notice – Summary Care Record
Privacy Notice - GP's as Employers
Forms
SC2 Self Certification form
For absences for seven days or less, you do not need a certificate from the doctor. Ask any receptionist for a self-certification form (SC2) or download a printable version available below. If your employer requires evidence of sickness for periods of less then seven days, you should ask the doctor for a private certificate, for which a fee will be charged.
FP95 Prescription Pre-payment Certificate application form
You may be able to save money on the cost of your prescriptions. Read the FP95 form for more information.
Help with Health Costs
See if you could get help with paying for your prescriptions
Fazakerley Community Federation & Library
For help with advice or help with food and a range of other things, get help within the community. Read more...
Liverpool Carers Emergency Card Scheme
For an information leaflet for this scheme please follow this link. Liverpool Carers Emergency Card Scheme