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West Pottergate Medical Practice NHS GP Surgery in Norwich

Medication review

Medication Review

Section

Are you taking all medication listed on your repeat list? *

Yes

Please specify which medicines you aren’t currently taking and why: *

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

Yes

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

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

Yes

Please specify: *

Are you happy to continue taking your medication as prescribed? *

Yes

Do you feel your medical conditions are stable? *

Yes

Are you taking any medicines that you buy over the counter or that you get on a private prescription? *

Yes

Please specify: *

Would you like an appointment to discuss your medicines with a GP or the practice pharmacist? *

Yes

Are you happy for the practice pharmacist to update your medication review date now? *

Yes

Confirmation *

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

If you are human, leave this field blank.

Earlham Road
Norwich
NR2 4BX

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01603 513333

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