Annual Review Invite

Do you wish to have your Annual Review *

Yes, I would like to have my Annual Review - please book me an appointment as listed below

No, I wish to decline my Annual Review - Note if you decline your Annual Review your medication may be affected.

No, I have had my Annual Review elsewhere

If you answered to having your Annual Review elsewhere, please tell us when and where you had your Annual Review to enable us to update your medical records

If you answered yes to I would like to have my Annual Review, please select a preferred day for us to book your appointment. (If you have Diabetes or Kidney Disease, please bring an early morning urine sample with you to your appointment. Urine sample pots can be obtained from your local surgery or pharmacy)

Monday

Tuesday

Wednesday

Thursday

Friday

Any Day

If you answered yes to I would like to have my Annual Review, please select a preferred time to attend your appointment. (Please note, Annual Reviews have to be booked before 3PM due to Blood Collection)

Between 8AM-11AM

Between 11AM-1PM

Between 1PM-3PM

Any time

Please let us know here if there are any specific dates you are not able to attend for an Annual Review. On processing this form the team will look to book you an annual review from the information you have provided and send SMS confirmation of this appointment, if you are unable to attend the appointment booked please contact the surgery to rearrange

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Further Information