If you are due an Asthma, COPD or blood pressure review or you would like to update us with your current smoking status and receive help to stop smoking then please fill in the forms below.
Please note that should you complete and send through an online form to us then will update your patient record with the information provided. This will include your telephone number, email address and home address. If you do not wish for this to happen then please let us know in the 'Additional Information' section on the online form.
If you are due an Asthma review then please complete the following questionnaire by clicking on the button below. Once completed it will be sent through to us for assessment. If any follow up treatment is required then we will contact you.
If you are due a COPD review then please complete the following questionnaire by clicking on the button below. Once completed it will be sent through to us for assessment. If any follow up treatment is required then we will contact you.
If you own a blood pressure machine and are due a blood pressure review or you would like to update your record with a recent blood pressure reading, then please complete the following questionnaire by clicking on the button below. If any follow up treatment is required then we will contact you.
If you would like to update us on your current smoking status then please complete the following questionnaire by clicking on the button below. If you have expressed an interest in stopping then we will contact you with further information.
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