Book an appointment

To book your first appointment at Breakspear Medical, please complete our secure Pre-appointment Form below.

Why we ask for this information:

• it helps us recommend the most appropriate Clinical Team member for your specific needs
• or, if you already know which practitioner you’d like to see, you can request them directly
• it ensures that we understand your health concerns before your first conversation with us

A member of our Patient Liaison Team will contact you by email or telephone within 2 business days to schedule your appointment and answer any questions.

For general inquiries not related to booking an appointment, please select the “General Inquiries” tab above.

Your information is safe with us

Your privacy matters. This form is secured through HIPAAtizer, a trusted medical-grade platform that encrypts and protects all your personal and health information to HIPAA standards. Only our team will access your information, and it remains completely confidential.

Quick & straightforward

This form takes just 3-4 minutes to complete. The more detail you can provide about your health history and current concerns, the better we can prepare to support you. However, please only answer what you’re comfortable sharing.

If you have any questions while completing this form or about your appointment, we’re here to help. Simply contact us at +44 (0) 1442 261 333.

We look forward to welcoming you to Breakspear Medical.

Thank you for submitting your information. Your information will be securely received and our Clinical Care Team will review your case  and email or call you by your preferred method within 2 working days.

Privacy & data protection

By submitting this form, you agree that:

• Your information will be stored and processed in accordance with GDPR requirements.
• We will only use your information to provide information and healthcare services and/or contact you about your care.
• We never sell or share your personal information with third parties.

Security notice: while we use secure systems to protect your data, please note that submitting information online always carries some inherent risks.

If you need to update information or have further questions, contact us by telephone: +44 (0)1442 261 333 during opening hours.