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Bank Holidays and other dates when the surgery is closed

The Practice will be closed on the following days:

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Miller Street Surgery
  • Home
  • About Us
    • Contact
    • Have your Say
    • Making the most of your Practice
    • Meet the Team
      • Doctors
      • Nurses
      • Practice Team
      • Our Allied Health Professionals
    • Opening Hours
      • What to do when we are closed
    • Practice Policies
      • At the Practice
      • Data
      • Patient Record
      • Patient Rights
      • Website
    • Regulations & Governance
    • Teenage Friendly
  • Clinics & Services
    • Appointments, Tests & Referrals
      • Appointments
      • Know Who to Turn to for Your Healthcare
      • Referral for Further Care
        • Self Care Advice
      • See a Doctor or Healthcare Professional
      • Tests & Investigations
    • Clinics
    • Travel Clinic & Holiday Vaccinations
    • Practice Services
  • Your Record
    • Keep us up to Date
    • Health Review Forms
  • Online Services
    • NHS App
    • Register for Online Services
  • Help & Support
    • Online Consult
  • News
Miller Street Surgery > Your Record > Health Review Forms

Health Review Forms

Help us to monitor your condition. Please complete the appropriate form when requested to do so by a member of our team.

Unfortunately we cannot respond to forms that have not been requested by us – please call and speak to a member of our team if you are concerned about your health in any of these areas.

Alcohol Consumption Review Form
Antidepressant Medication Review
Asthma Review Form
Blood Pressure Review Form
Chronic Pain and Painkillers Review Form
COPD Review Form
Diabetes Review Form
DOAC (Direct Oral Anticoagulants) Review Form
Epilepsy Review Form
Hormone Replacement Therapy Review Form
Hypertension Review Form
Male Urinary Tract (IPSS) Review Form
Mental Health Review (PHQ-9) Form
NSAIDs Review Form
Sleeping Tablets and Diazepam
Smoking Review Form
The Combined Pill Review Form
The Mini Pill Review Form
Thyroid Review Form
Travel Risk Assessment Form
Urinalysis Samples

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Advice, tips and tools for health & wellbeing
Live Well

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Miller Street Surgery

Miller Street
Newcastle Under Lyme
Staffordshire
ST5 1JD

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  • Home
  • About Us
    • Contact
    • Have your Say
    • Making the most of your Practice
    • Meet the Team
      • Doctors
      • Nurses
      • Practice Team
      • Our Allied Health Professionals
    • Opening Hours
      • What to do when we are closed
    • Practice Policies
      • At the Practice
      • Data
      • Patient Record
      • Patient Rights
      • Website
    • Regulations & Governance
    • Teenage Friendly
  • Clinics & Services
    • Appointments, Tests & Referrals
      • Appointments
      • Know Who to Turn to for Your Healthcare
      • Referral for Further Care
        • Self Care Advice
      • See a Doctor or Healthcare Professional
      • Tests & Investigations
    • Clinics
    • Travel Clinic & Holiday Vaccinations
    • Practice Services
  • Your Record
    • Keep us up to Date
    • Health Review Forms
  • Online Services
    • NHS App
    • Register for Online Services
  • Help & Support
    • Online Consult
  • News
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