diff --git a/app/views/patient-session/_consent.njk b/app/views/patient-session/_consent.njk
index 4f5b4faa8..d8938a267 100644
--- a/app/views/patient-session/_consent.njk
+++ b/app/views/patient-session/_consent.njk
@@ -4,7 +4,7 @@
 
 {% call card({
   heading: __("patientSession.consent.title", programme.nameSentenceCase),
-  headingLevel: 3
+  headingSize: "m"
 }) %}
   {# Description #}
   {% if not isVaccinated %}
@@ -42,7 +42,7 @@
   {% if patientSession.replies | length %}
     {# Requests with responses or requests that couldn’t be delivered #}
     {{ appHeading({
-      level: 4,
+      level: 3,
       size: "s",
       title: __("patientSession.replies.responses") if patientSession.responses.length > 0 else __("patientSession.replies.requests")
     }) }}
@@ -52,8 +52,7 @@
         card: {
           classes: "app-card--compact app-card--offset",
           heading: reply.fullNameAndRelationship,
-          headingLevel: 5,
-          headingSize: "s",
+          headingLevel: 4,
           href: reply.uri if reply.delivered,
           actions: {
             items: [
@@ -90,7 +89,7 @@
     {# We don’t create replies so use parent details instead #}
 
     {{ appHeading({
-      level: 4,
+      level: 3,
       size: "s",
       title: __("patientSession.replies.pending")
     }) }}
@@ -100,7 +99,7 @@
         card: {
           classes: "app-card--compact app-card--offset",
           heading: parent.fullNameAndRelationship,
-          headingLevel: 5
+          headingLevel: 4
         },
         rows: summaryRows(parent, {
           tel: {},
@@ -126,7 +125,7 @@
     heading: __mf("healthAnswers.count", {
       count: patientSession.answersNeedingTriageCount
     }),
-    headingLevel: 3
+    headingSize: "m"
   },
   classes: "app-summary-list--full-width",
   rows: healthAnswerRows(patientSession.consentHealthAnswers)
diff --git a/app/views/patient-session/_gillick.njk b/app/views/patient-session/_gillick.njk
index 410b4443e..ee25205da 100644
--- a/app/views/patient-session/_gillick.njk
+++ b/app/views/patient-session/_gillick.njk
@@ -2,7 +2,7 @@
 
 {% call card({
   heading: __("patientSession.gillick.title"),
-  headingLevel: 3
+  headingSize: "m"
 }) %}
   {# Description #}
   {% if patientSession.gillick %}
diff --git a/app/views/patient-session/_instruct.njk b/app/views/patient-session/_instruct.njk
index fef5239e1..827c21f08 100644
--- a/app/views/patient-session/_instruct.njk
+++ b/app/views/patient-session/_instruct.njk
@@ -1,5 +1,5 @@
 {{ card({
   heading: __("patientSession.instruct.title"),
-  headingLevel: 3,
+  headingSize: "m",
   description: patientSession.status.instruct.text
 }) }}
diff --git a/app/views/patient-session/_record.njk b/app/views/patient-session/_record.njk
index 8c1d48472..63dc30bba 100644
--- a/app/views/patient-session/_record.njk
+++ b/app/views/patient-session/_record.njk
@@ -15,7 +15,6 @@
 
 {% call card({
   heading: heading | safe,
-  headingLevel: 3,
   headingSize: "m"
 }) %}
   {{ radios({
diff --git a/app/views/patient-session/_register.njk b/app/views/patient-session/_register.njk
index 56511d5ac..affe0d9d0 100644
--- a/app/views/patient-session/_register.njk
+++ b/app/views/patient-session/_register.njk
@@ -1,6 +1,6 @@
 {% call card({
   heading: __("patientSession.register.title"),
-  headingLevel: 3
+  headingSize: "m"
 }) %}
   {# Description #}
   {{ patientSession.registerNotes | nhsukMarkdown }}
diff --git a/app/views/patient-session/_report.njk b/app/views/patient-session/_report.njk
index 9422d3a89..8049315ea 100644
--- a/app/views/patient-session/_report.njk
+++ b/app/views/patient-session/_report.njk
@@ -3,7 +3,7 @@
   feature: true,
   heading: programme.name + ": " + (patientSession.patientProgramme.status | lower),
   headingClasses: "app-card__heading--" + patientSession.patientProgramme.statusColour,
-  headingLevel: 3
+  headingSize: "m"
 }) %}
   {# Description #}
   {{ patientSession.reportNotes | nhsukMarkdown }}
diff --git a/app/views/patient-session/_triage.njk b/app/views/patient-session/_triage.njk
index d3589b492..ac5128c12 100644
--- a/app/views/patient-session/_triage.njk
+++ b/app/views/patient-session/_triage.njk
@@ -2,7 +2,7 @@
 
 {% call card({
   heading: __("patientSession.screen.title", programme.nameSentenceCase),
-  headingLevel: 3
+  headingSize: "m"
 }) %}
   {# Description #}
   {{ patientSession.screenNotes | nhsukMarkdown }}