Impaired glucose tolerance referral request

Use this service to request a referral for an impaired glucose tolerance service.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on Oak Tree Surgery 01579 324 252 or Pensilva Health Centre 01579 324 252.