Use this service to submit a routine review of your health.
You can use this service if you:
- are registered at the surgery
- have been invited to do so
Our aim is to provide the right support at the right time so that you can maintain maximum independence in your own home. Early intervention can reverse the potential for further deterioration and prevent unnecessary hospital admissions.
On a positive note, the questionnaire may indicate that you remain healthy and are enjoying life to its full potential. We will not contact you at this point, but be assured if circumstances change you can phone the surgery on 01285 652056.
Other numbers that you may find useful:
- call Adult Helpdesk on 01452 426868 for social care / housing / equipment needs
- call Attendance Allowance Packs on 0800 731 0122 if you are receiving help for personal care you may be eligible for financial help (this is not means tested)
- call Managing Memory 2gether on 0800 694 8800 for confidential support and advice if you have concerns about your memory
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of