Health Reviews and Assessments

This form is used for your annual asthma review. Please answer the questions and submit this form to us. If your symptoms are deteriorating or you have any concerns, please make an appointment to the respiratory nurse or a Doctor as well.

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

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

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

If you have been advised by the surgery to do so, please complete one of the following forms.

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

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

For many people with an underactive thyroid (Hypothyroidism) taking thyroxine medication is a simple process of taking a standard and stable dose of pills every day for life. Providing you are well and stable we may be able to monitor your health without you visiting the practice.

If this applies to you (and you are not on any other tablets requiring monitoring), then before your medication runs out please complete this assessment and we will review whether we can repeat your medication for another 9-12 months.

If you have been advised by the surgery to submit a Patient Health Questionnaire (PHQ-9) please use this form.

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

The Oxford Hip Score is designed to assess function and pain in your hip. Please complete this self-assessment. You will have the option to send your results to your GP at the end.

The Oxford Knee Score is designed to assess function and pain in your knee. Please complete this self-assessment. You will have the option to send your results to your GP at the end.