Medication Review

We review any regular medication on a repeat prescription annually and wherever possible the doctor will do this without you having to attend the surgery.

If you have been advised by the surgery that your medication review is due please use this form.

Medication Review

Medication Review

Section

Review

Please only complete the following questionnaire if requested by your GP practice as part of your routine medication review.

This questionnaire is for a routine review of your medication.

Thinking about your repeat medications and how you are getting on with them, please answer the following questions:

Do you know why you take each of your medicines? *
Do you have any problems with taking your medicines? (e.g. swallowing them, using your inhaler) *
Do you think your medicines are working? *
Do you have trouble remembering to take your medicines? *
Have you missed any doses of your medicines? *
Do you think you are getting any side effects from your medicines? *
Is there anything else you would like to know about your medicines? *
Do you take any other medicines that aren't prescribed by your doctor? (e.g. over the counter medicines, herbal remedies, medicines from a clinic or hospital)? *
Do you understand how and when to take your medication? *

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

Do you wish to continue taking all your medication? *
Are you happy for the doctor to update your review date now? *
*