Asthma review
This secure online consultation allows you to answer important questions about your asthma. It will take around 5 minutes to complete.

Your answers will be attached to your medical record but will not be seen straight away. This system should never be used for an urgent message to the practice.

If text is too small on your phone, turn it sideways. This form is also accessible via the practice website
Consent
Initials *
Your answer
NHS number *
Please make certain this number is for the right person and you type it in correctly. It is critical to get this right so that your responses are added to the correct medical record. Your NHS number may have come with the text you received. You can also find it on repeat prescription slips or NHS letters. If you can't find your number, please contact the surgery
Your answer
Month of birth *
Day of birth *
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