Victoria Road Surgery
50 Victoria Road, Worthing, West Sussex, BN11 1XE | Tel: 01903 230656
Durrington Health Centre, Durrington Lane, Worthing, West Sussex, BN13 2RX | Tel: 01903 230656
Current time is 03:20 - Sorry, we're closed

Useful Forms & Leaflets
Prediabetes Leaflet gives information on prediabetes
Prostate PSA Advice gives information on prostate testing and cancer
Earwax Care Leaflet gives information on clearing earwax
Asthma Annual Review Questionnaire use this form if you do not wish to attend Surgery for your annual asthma review
Practice Information Leaflet October 2019
Time to Talk Leaflet 2017 Time to Talk offer a range of talking therapies
Physiotherapy Self Referral (web) Self referral information for people over 18 years with musculoskeletal problems, such as muscle and joint pain, sports injuries, back or neck pain, sprains and strains.
PHQ-GAD7 (Web) Depression and anxiety screening
Third Party Consent Form giving permission to discuss a third party’s medical information
Change of Name or Address Form to inform us of change of details
Contraceptive Pill Request Form to request contraceptive pill
Urine Sample Test Form Form to give information on urine sample (please fill out one of the forms only)