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)