If you have any difficulty in accessing the service then please complete the online form to request a call-back.
Due to unprecendented demand for this service we have had to extend our guaranteed call back times. Please see below for details.
If a form is sumbitted:
If you would like to specify a time for a call back that is more convenient for you and is between the hours of 8am and 5pm Monday to Friday please type this into the 'additional information' box. Although this can't be guaranteed we will do our very best to accommodate your request.
Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.All Information submitted through secure forms is secured with a private key known only to the CCG and is accessed over a secure connection by nominated members. Our CCG has a strict confidentiality policy.This information is not shared with any third party organisations.On our website:
This information is retained for up to 28 days.
I consent to my information being used for the purposes described above and wish to submit this online form to
Coventry and Rugby Clinical Commissioning Group
Parkside House, Quinton Road, Coventry, CV1 2NJ.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.