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.

Medication Review

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
Do you understand why you are taking your medicine(s)? *
Do you take all of your medication regularly, as prescribed? *
Can you manage your medication yourself? *
Are there any medicines on your repeat list that can be removed? *

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


You may be required to visit the practice for a blood test and /or examination before we can fully complete your medication review.