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Medication review

Medication Review
Required fields are labelled
What is your name?
What is your date of birth?
For example, 31 3 1980
What is your sex?
As recorded on your medical record
The one used to register with your GP
Anyone else with access to your email account may see responses sent to you
Do you understand the reason why you are taking each of your medications?
Do you understand how to take each of your medications?
Do you find it easy to take each of your medications?
Are you currently taking each of your medications as they are prescribed on the label?
Do you ever forget to take any of your medications?
Do you get any side effects from the medication you are taking?
Do you manage your own medication?
What is your smoking status? Required
Please provide a home blood pressure reading, or you can use our Self-service blood pressure machine at any time:
Do you have any other concerns relating to any of your medications?
Are you happy for the doctor to update your review date now?
Confirmation