Medical Review

 

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Personal Details

This form should not be used for Repeat Medication Requests.

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.

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Medication Review

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

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

 
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