Health Reviews and Assessments

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Here we can help you monitor your condition


Health Reviews

Asthma Review

If you have been advised by the surgery to submit an annual review of your asthma symptoms please use this form. If your symptoms are deteriorating or you are having any concerns please make an appointment with our Nurse.

Breathlessness Review

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

Epilepsy Review

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

Contraceptive Pill Review

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

Hypothyroid Self Assessment

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.

Oxford Knee Score

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.

Patient Health Questionnaire (PHQ-9)

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

COPD Assessment

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

This assessment will help us measure the impact of COPD (Chronic Obstructive Pulmonary Disease) is having on your wellbeing and daily life. Your score will be used by us to help improve the management of your COPD and get the greatest benefit from treatment.

Male Urinary Tract (IPSS)

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

Oxford Hip Score

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.