Health Reviews and Assessments

Quote / Testimonial:

Here we can help you monitor your condition.


Health Reviews

Adult Asthma Review (Age 12+)

If you have been advised by the surgery to submit an annual review of your asthma symptoms, please use this form.

Blood Pressure Review

If you have been advised by the surgery to submit your blood pressure readings on a regular basis, please use this form.

Child Asthma Review (Age 4-11)

If your child (aged 4-11) has asthma and you have been advised by the surgery, please submit this form.

Breathlessness Review

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

Contraceptive Pill Review

If you have been advised by the surgery to submit a contraceptive pill review.

Epilepsy Review

If you have been advised by the surgery to submit an epilepsy review, please use
this form.

Smoking Review

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


Assessments

Alcohol Consumption Review

If you have been invited to submit an alcohol consumption review, please complete
this form.

COPD Assessment

If you have been advised by the surgery to submit a COPD assessment, please use this form.

Epworth Sleepiness Scale

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?

Hypothyroid Self Assessment

Taking thyroxine medication is a simple process of taking a standard and stable dose of pills every day for life….

Male Urinary Tract (IPSS)

If you have been advised by the surgery to submit Male Urinary Tract (IPSS) review, please use this form.

Oxford Knee Score

The Oxford Knee Score is designed to assess function and pain in your knee. Please complete this self-assessment.

Oxford Hip Score

The Oxford Hip Score is designed to assess function and pain in your hip. Please complete this self-assessment.

Patient Health Questionnaire (PHQ-9)

If you have been advised by the surgery to submit a PHQ-9 form, please use this form.