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Asthma review (adult)

Use this service to submit a routine review of your asthma.

This questionnaire is for a routine review of your symptoms. If you are experiencing severe shortness of breath at present, please follow your care plan (if you have one) or ring us on 01263 724500, or 999 immediately.

You can use this service if you:

  • are registered at the surgery
  • have been invited to do so
  • are aged 12 years and older

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also phone us on 01263 724500.