Ear wax removal request

 
Page {{ paginatorProps.current }} of {{ paginatorProps.total }} ({{ paginatorProps.percentage }}% completed)

All questions marked with a * are mandatory

Are you registered at Clevedon Medical Centre?: *
Do you have a hearing aid?: *
Do you suffer from a significant learning disability?: *
Do you suffer with a significant impairment in communication?: *
Do you suffer with significant memory loss due to dementia: *
Do you need a new diagnostic assessment such as a hearing test to diagnosis possible hearing loss, where ear wax removal is needed for accurate results?: *

You are eligible for ear wax removal free on the NHS

As you have said you are registered patient at Clevedon Medical Centre, you are eligible for ear wax removal free on the NHS.

Complete and submit and request online

You are not able to continue with this form as you are eligible for free Ear Wax Removal: *
Processing

You do not meet the criteria for NHS funded microsuction at Clevedon Medical centre

We do however provide a non-NHS paid for service, the cost is outlined below

  • There is a deposit of £40 to cover the consultation fee. If you need ear wax removal during the appointment you will be charged a top-up fee of £25
  • If the ear wax removal is particularly complex then you may be charged a top-up fee of £35

Please complete and submit this form if you would like us to make you an appointment for this service

Do you have a perforated ear drum?: *
Do you have problems with recurrent tinnitus?: *
Processing
Personal Details
Please double check you've entered the correct email address
May be used to identify you
Processing

Privacy Consent

Processing

There appears to be a problem loading the form, please refresh the page.
If the error persists please contact us.

Providing NHS Services

Clevedon Medical Centre
Old Street
Clevedon
North Somerset
BS21 6DG

Telephone: 01275 335666