ADHD Review

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Personal Details

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ADHD Review

Weight

What unit of measurement are you using?: *

Height

What unit of measurement are you using?: *

Blood Pressure

Your systolic blood pressure is the top number on your reading
Your diastolic blood pressure is the bottom number on your reading

Pulse (heart rate)

Your pulse rate is the number of times your heart beats per minute

Lifestyle

Has there been an alteration in your mood or have you become suicidal?: *

Medication

Are you happy with your ADHD medications or do you want to have a phone call with the pharmacist to discuss them?: *

We would like to take this opportunity to remind you of the importance for attending for your review appointments with the specialist to ensure that we are able to continue prescribing your medication.

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Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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Care Quality Commission
Rating: Good

Clapham Park Group Practice
72 Clarence Avenue
London
SW4 8JP

Telephone: 020 8678 5420

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