Minor Surgery Criteria Questions

Please complete the below form if you think you require a Minor Surgery appointment for removal of any lesions.

Minor Surgery Referral Questions

Please complete the below form if you think you require a Minor Surgery appointment for removal of any lesions.

Your name *

Your Date of Birth: *

Your contact number *

Where is the lesion on your body? *

How long has the lesion been there? *

Has the lesion changed in shape/colour since you first noticed it? *

What is the reason for you wanting the lesion removed? *

I have sent photos of my lesion with my details included to the following email address? - loth.penicuikmedicalpracticedonotreply@nhs.scot *

Yes No

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Page last reviewed: 12 September 2024
Page created: 01 July 2019

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