Request for a 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 to request one.

Medication Review

Medication Review

Please be aware that this is only a request, your full review will be arranged following submission of this form.

Please provide a recent blood pressure reading. If you do not have access to a blood pressure machine, please come to the surgery and use the one in the reception area.

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.

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