Important:

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Medication Review

We review any regular medication on a repeat prescription annually and sometimes wherever possible the doctor will do this without you having to attend the surgery.

If you have been advised by the surgery that your medication review is due, please submit this form.

Alcohol Form 1 Unit
This is one unit of alcohol
Alcohol Form More Unit
And each one of these, is more than one unit

We review any regular medication on a repeat prescription annually and sometimes wherever possible the doctor will do this without you having to attend the surgery.

If you have been advised by the surgery that your medication review is due, please submit this form.

Do you have any concerns or side effects from your medication?
Do you know when and how to take your medication?
Are you happy for the doctor to update your review date now?
Do you currently smoke?
How often do you have a drink containing alcohol?
How many units of alcohol do you drink on a typical day when you are drinking?
How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year?