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

Blood Pressure

BMI

eg. 1.75
eg. 60.6

Are there any concerns or side effects from the medication? *
Do you know when and how to take your medication? *

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

Do you know why you are taking each medication?
Please provide a list of the medication and any details you are unsure of.
Do you take any vitamins, herbal or over the counter medicines? *
Are you happy for the doctor to update your review date now? *
*