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Harlequin Surgery NHS GP Surgery in Birmingham

Medication monitoring

Medication Monitoring

Named GP (if known):

Do you understand what your medication is for?

Yes

Do you understand when to take your medication?

Yes

Do you always remember to take your medication?

Yes

Are the medications currently prescribed by your GP, the only medications you take?

Yes

Please state what other medications you are taking:

Do you return any excess or unwanted medications to the pharmacy?

Yes

Are you happy that we only prescribe the medicines you need?

Yes

Are you comfortable with your current medications?

Yes

Please state the problem:

Do you have any allergies or sensitivities?

Please contact the surgery to arrange a medication review.

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

If you are human, leave this field blank.

160 Shard End Crescent
Shard End
Birmingham
B34 7BP

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0121 747 8291

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