Asthma / COPD Annual Health Review

Thank you for completing your Asthma/COPD health questionnaire this will form part of your annual review. Once you have submitted the questionnaire and it has been reviewed we will contact you to arrange a face to face appointment with a nurse to complete your annual review.

Please visit our Health Information Video Library for more advice and guidance on your condition(s), health and wellbeing.

Asthma / COPD Annual Health Review
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Patient Details

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Patient Details

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Other Details

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Carers

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Are you being cared for?

Smoking Review

Smoking status
Are you interested in advice on how to quit?