NHS Health Check

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NHS Health Check

The NHS Health Check is a free check-up of your overall health. It is designed to identify your risk of developing certain health problems, eg heart disease, diabetes, kidney disease, stroke.

We are using this secure online system to ask you some important questions in advance.

OPTIONAL: You can submit a recent weight, height and blood pressure readings.

If you would like to, please measure your blood pressure in the morning and in the evening, while sitting down. Each time take two readings, 1 minute apart. Continue measurements twice daily for at least 4 days and ideally 7. Gathering all your readings first and entering them here will allow calculation of your average blood pressure.

SAFETY: Readings above 180/110 cannot be entered and should be reported by calling the practice.

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.

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Practice Name - OFFICE USE ONLY *

This review is only for patients registered at the practice below. Please do not alter

Data Processing Notice

Participation

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

I am 18 years of age or older

I am currently located in the United Kingdom

I am a registered patient at the above named practice

I elect to participate in this online review in accordance with the Data Processing Notice above, which I have read and understood

First name *

Surname *

Month of birth *

Day of birth *

Year of birth *

Ethnicity *

We ask this because some ethic groups are at higher risk of certain medical problems. Options are taken from the most recent UK census.

White - British

White - Irish

White - any other white background

Mixed - white and black Caribbean

Mixed - white and Asian

Mixed - white and black African

Mixed - any other mixed background

Asian - Indian

Asian - Pakistani

Asian - Bangaldeshi

Asian - any other

Black - Caribbean

Black - African

Black - any other black background

Chinese

I would rather not say

Other:

How would you like to enter your weight? *

If you don't want to enter your weight now this can be measured later

Kilograms

Stones and pounds

Pounds only

Skip height and weight

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