Medication Review

 
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We review any regular medication on a repeat prescription annually and 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 use this form.

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All questions marked with a * are mandatory

Personal Details
Please double check you've entered the correct email address
May be used to identify you
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Medication
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?: *
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Privacy Consent

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