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

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
Do you remember to take your medication? *
Do you take all your medication as prescribed? *

Please speak to a Pharmacist or a GP to discuss when and how you should take your medication.

Do you have any allergies? *
Do you smoke? *
Would you like advice to quit? *
Do you measure your Blood Pressure at home? *
Do you have any other concerns or comments about your medication? *

Your response will be reviewed by our Clinical Pharmacist, who will contact you if any further information is needed. Please note that currently our Pharmacist only works one day a week.