Medical Questions

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You have changed your answer. Please confirm that the answer you have given is correct.

YesNo

You have changed your answer. Please confirm that the answer you have given is correct.

Please use a comma to seperate each condition

You have changed your answer. Please confirm that the answer you have given is correct.

Please use a comma to separate each allergy

You have changed your answer. Please confirm that the answer you have given is correct.

Please use a comma to seperate each medication

You have changed your answer. Please confirm that the answer you have given is correct.

YesNo

To continue, please provide your GP's surgery address below.

Doctor Surgeries

[% doctor_surgery.practice_name %]

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I can't find my surgery

You have changed your answer. Please confirm that the answer you have given is correct.

I confirm that all previous answers still apply, and that I am not taking any new medication not stated in my assessment. I also confirm that the medication previously prescribed was effective and that I suffered no serious side effects from the medication.

Estimated completion time 2 minutes

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Medical Questions

Doctor Surgeries

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