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Shipdham Surgery NHS GP Surgery in Norfolk

Medication review

Medication Review

Section

Named GP (if known):

Are there any concerns or side effects from the medication? *

Yes

Please specify:

Do you know when and how to take your medication? *

Yes

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

Is the medication controlling the symptoms of your condition (if applicable)?

Yes

Have you required any monitoring for your medication in the last year? For example: blood tests, blood pressure, BMI etc. (if applicable)

Yes

Are you happy for the doctor to update your review date now? *

Yes

Additional comments:

I confirm that the information provided is accurate to the best of my knowledge

If you are human, leave this field blank.

Chapel Street
Shipdham
Thetford
Norfolk
IP25 7LA

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01362 820 225

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