Request Ear Syringing Appointment

  • Your Details

    Date of Birth
    For example, 15 3 1984

  • Application

    Are you currently registered at Tyntesfield Medical Group?
    Have you attempted self-care by using oil drops in the affected ear(s)?
    Have you been advised by a healthcare professional that you require ear syringing?
    Are you having problems with your hearing aid due to a build up of ear wax?
    Do you require ear syringing prior to an audiology appointment for an accurate assessment?
    Do you have significant learning disabilities, impaired communication or dementia?
The information you provide on this form will be sent to our practice and used only to deal with your request. Depending on the form, this may include your contact details, personal information and health information. The practice may add it to your medical record and, where needed for your care, share it with other NHS and care services. To find out how we protect and use your information, please read our privacy policy on our website.
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Page last reviewed: 27 February 2026
Page created: 13 October 2026