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Pitcairn Practice

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Home
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Submit Forms

Asthma review

If you have been advised by the surgery to submit an asthma review form, please use this form.

Breathlessness review

If you have been advised by the surgery to submit a breathlessness review, please use this form.

Contraceptive pill review

If you have been advised by the surgery to submit a contraceptive pill review, please use this form.

Epilepsy review

If you have been advised by the surgery to submit an epilepsy review please use this form.

Epworth Sleep Score

If you have been advised by the surgery to submit an Epworth Sleep Score please use this form.

Male urinary tract assessment

If you have been advised by the surgery to submit Male Urinary Tract (IPSS) review please use this form.

Patient health assessment (PHQ-9)

If you have been advised by the surgery to submit a Patient Health Questionnaire (PHQ-9) please use this form.

Smoking review

If you have been advised by the surgery to a submit smoking review please use this form.

HRT Review

If you have been asked to complete a HRT review, please use this form.

Blood pressure readings

If you have been advised by the surgery to review your blood pressure, please use this form.

Page last reviewed: 21 April 2026
Page created: 24 March 2026

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