Medication review

Medication Review

Named GP (if known):

Are there any concerns or side effects from the medication?

Yes

Please specify:

Do you know when and how to take your medication?

Yes

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

Would you like to reduce or stop any of your medication?

Yes

Please specify which medication: *

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

Yes

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

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