Book your appointment

Booking your appointment

Please complete the booking form

Virtual Child Health offers private paediatric appointments for babies, children and young people, with expert advice tailored to your child's needs. Please complete the booking form below with as much detail as possible, including your preferred appointment date, and a member of the team will be in touch to arrange the next available suitable appointment.

If your child is seriously unwell or you need urgent medical help, please contact NHS 111, your GP, or call 999 in an emergency.

Booking form

    Please complete the form below to request a paediatric appointment. A member of the Virtual Child Health team will review your enquiry and contact you to confirm availability.

    Parent or guardian details

    Parent or guardian full name*

    Relationship to child*

    Telephone number*

    Email address*

    Country

    Address

    Child details

    Child's full name*

    Child's date of birth*

    Child's sex

    Appointment details

    Preferred appointment date*

    Preferred time

    Consultation type

    Reason for appointment*

    What are you concerned about?*

    How long has this been going on?

    Has your child seen a GP or another clinician already?

    If yes, please give brief details

    Current medications

    Known allergies

    Relevant medical history (if any)

    GP surgery / clinic name

    GP surgery / clinic location

    Anything else you'd like us to know?

    If your child is seriously unwell or you need urgent medical advice, please contact local emergency services immediately. This form is not monitored for medical emergencies.