COPD review
This secure online review allows you to answer important questions about your breathing. You can also access some relevant health information.

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 alter
Data Processing Notice
Consent
To use this Online Consultation you must confirm the following by ticking each box. If you are unable to do so please contact your practice
First name *
Surname *
Month of birth *
Day of birth *
Year of birth *
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