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

Do you have any concerns or side effects from your 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 take any non-prescribed medication (e.g. herbal, vitamins, medication bought online etc)? *
Are your medications in sync for repeat prescription ordering? *
Smoking status:
Would you like to give up smoking?

Blood Pressure Reading

For a list of validated home blood pressure monitors, visit or discuss with your pharmacy.