Medication Review

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.

Medication Review

Medication Review

Section

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? *
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? *
*