phone: 046 9052109

Download Forms and Information

 

Forms for practice administration:

Text Message/Mobile Number Approval Form

 

Forms / Information leaflets for our practice services / clinics

Men’s health assessment information leaflet

Men’s health assessment questionnaire

Women’s health assessment information leaflet

Women’s health assessment questionnaire

Lifestyle clinic information leaflet

Lifestyle clinic questionnaire

Intrauterine (Mirena) Coil insertion consent form

Intrauterine (Mirena) Coil patient information

Implanon insertion consent form

Implanon patient information

 

Patient Education / Advice

Patient.co.uk

This excellent website is written with patient’s needs in mind and has a comprehensive patient information leaflet section. For your convenience we have attached some of the leaflets we use most frequently in PDF form for downloading below. For more information simply follow the link and use the search box of find information leaflets on many other topics www.patient.co.uk/pils.asp

Bronchiolitis

Constipation in Children

Coughs and Colds in Children

Croup

Eczema Emollients for eczema / Fingertip units topical steroids

Gastroenteritis in Children

Head Injury Advice

Meningitis Signs & Symptoms

Whooping cough

Whooping cough vaccination in pregnancy 2013

Why no antibiotic?

 

Patient Fact sheets / Written information for download

Digital rectal exam explanation ( What to expect when a prostate examination is needed)

Healthy Eating Tips Fact Sheet (Dietary changes for cholesterol, diabetes,weight loss e.t.c)

101 Healthy Inexpensive Recipes (MABs Publication: Cost effective recipe book)

 

Patient Education Animation / Video links

Depression – ‘Black Dog’ Animation

Exercise – ’23 1/2 Hours’ Animation

 

Application forms

driving_licence_eyesight_report_form

driving_licence_medical_report_form

Drugs Payment Scheme application form

Maternity Leave application form (mb10)

Medical card application over 70 review

Medical card and GP visit card application form