COVID Vaccination Query Form

If the information on the COVID-19 vaccination page does not answer your questions, or you have another reason for contacting the surgery about either your or a relative's vaccination, please complete the form below and a member of our clinical team will contact you. Alternatively you can call the Cardiff and Vale University Health Board COVID Vaccination queries line - 029 21 836 341 (09.00-17.00, 7 days a week)

Last Updated: 05/03/2021

Patient details

I have a query about the COVID vaccination *

Yes

Query about yourself or a family member? *

Myself

Family member

If you are contacting us about a family member, what is your name and relationship to the patient?

Patient's Surname *

Patient's First Name *

Date of Birth *

Contact number for response

Contact email for response

Query about the COVID Vaccination

Please describe as completely as possible your query about the vaccination programme. Please be assured that as soon as we know vaccines will arrive at the surgery patients are being contacted in priority order and given the earliest possible appointment time.

Your query about the vaccination *

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COVID Vaccination Query Form

Further Information