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Health E1 Homeless Medical Centre

Online Requests

Tel
020 7247 0090

9-11 Brick Lane
London
E1 6PU
Map

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Armed Forces veteran friendly accredited GP practice

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Health E1 Homeless Medical Centre

Breathlessness Review

If you have been advised by the surgery to submit a breathlessness review on a regular basis please use this form.

Breathlessness Review

Breathlessness Review

If you are human, leave this field blank.

Breathlessness Review

Please rate your level of breathlessness:

I am not troubled by breathlessness

I get breathless when I undertake vigorous exercise

I get short of breath when hurrying or walking up slopes

When walking I have to stop from time to time or walk slower due to breathlessness

I have to stop for breath after 100 yards or after a few minutes of walking on level ground

I am too breathless to leave the house and get breathless when getting dressed

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I confirm that the information provided is accurate to the best of my knowledge

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Hay Fever

How to manage your Hay Fever

Tel
020 7247 0090

9-11 Brick Lane
London
E1 6PU
Map