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Parkgate Surgery

Parkgate Surgery

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Parkgate Surgery

  • Home
  • About Us
    • Contact
    • Have your Say
    • Making the most of your Practice
    • Meet the Team
      • Doctors
      • Nurses
      • PCN Additional Roles
      • Practice Team
      • Our Allied Health Professionals
    • Opening Hours
      • What to do when we are closed
    • Practice Policies
      • At the Practice
      • Data
      • Patient Record
      • Patient Rights
      • Website
    • Regulations & Governance
    • Teenage Friendly
  • Clinics & Services
    • Appointments, Tests & Referrals
      • Appointments
        • Mental Health Support
      • Know Who to Turn to for Your Healthcare
      • Referral for Further Care
      • See a Doctor or Healthcare Professional
      • Tests & Investigations
    • Clinics
    • Travel Clinic & Holiday Vaccinations
    • Online Services
      • Register for Online Services
      • NHS App
    • Practice Services
  • Forms
    • Keep us up to Date
    • Health Review Forms
  • Help & Support
  • News
Parkgate Surgery > Forms > Health Review Forms

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

Health A-Z

Guide to conditions, symptoms & treatments
Health A-Z

Live Well

Advice, tips and tools for health & wellbeing
Live Well

Medicines Guide

How medicine works & possible side effects
Medicines A-Z

Care & Support

Options & where to get the best support
Services directory

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Parkgate Surgery

28 St. Helen’s Road
Ormskirk
L39 4QR

County Road Surgery

109 County Road
Ormskirk
L39 1NL

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Administrator Login
  • Home
  • About Us
    • Contact
    • Have your Say
    • Making the most of your Practice
    • Meet the Team
      • Doctors
      • Nurses
      • PCN Additional Roles
      • Practice Team
      • Our Allied Health Professionals
    • Opening Hours
      • What to do when we are closed
    • Practice Policies
      • At the Practice
      • Data
      • Patient Record
      • Patient Rights
      • Website
    • Regulations & Governance
    • Teenage Friendly
  • Clinics & Services
    • Appointments, Tests & Referrals
      • Appointments
        • Mental Health Support
      • Know Who to Turn to for Your Healthcare
      • Referral for Further Care
      • See a Doctor or Healthcare Professional
      • Tests & Investigations
    • Clinics
    • Travel Clinic & Holiday Vaccinations
    • Online Services
      • Register for Online Services
      • NHS App
    • Practice Services
  • Forms
    • Keep us up to Date
    • Health Review Forms
  • Help & Support
  • News
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