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Health Review Forms

Help us to monitor your condition. Please complete the appropriate form when requested to do so by a member of our team.

Unfortunately we cannot respond to forms that have not been requested by us – please call and speak to a member of our team if you are concerned about your health in any of these areas.

Alcohol Consumption Review Form
Antidepressant Medication Review
Asthma Review Form
Blood Pressure Review Form
Chronic Pain and Painkillers Review Form
COPD Review Form
Diabetes Review Form
DOAC (Direct Oral Anticoagulants) Review Form
Epilepsy Review Form
Hormone Replacement Therapy Review Form
Hypertension Review Form
Male Urinary Tract (IPSS) Review Form
Mental Health Review (PHQ-9) Form
NSAIDs Review Form
Sleeping Tablets and Diazepam
Smoking Review Form
The Combined Pill Review Form
The Mini Pill Review Form
Thyroid Review Form
Travel Risk Assessment Form
Urinalysis Samples

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Ormskirk Medical Practice
18 Derby Street,
Ormskirk,
Lancashire,
L39 2BY
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01695 317234
Ormskirk.medicalpractice@nhs.net
Mo,Tu,We,Th,Fr 8:00 am – 6:30 pm
 
 

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