Heart failure review
This secure online review allows you to share information with your clinical team to monitor the impact of your heart condition and tailor treatment to your symptoms

YOU NEED: Your recent weight and height.

OPTIONAL: You can submit blood pressure readings, if you have your own machine. Alternatively, you can have this measured at your local community pharmacy or in the practice, but please first check if this service is available.

Your answers will be attached to your medical record but may not be seen immediately. This system should never be used if you are in need of urgent medical attention. In this event, please contact the appropriate services (999 or 111) or the practice as normal.
If text is too small on your device, turn it sideways. You can also type the link you received into a tablet or computer browser to view on a larger screen
Practice Name - OFFICE USE ONLY *
This review is only for patients registered at the practice below. Please do not change under any circumstances
Data Processing Notice
To participate in this online review you must confirm the following by ticking each box. If you are unable to do so please contact the practice
First name *
Surname *
Month of birth *
Day of birth *
Year of birth *
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