Mental Health Review

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

Mental Health Review

Mental Health Review

Please use format DD/MM/YYYY
Please use format: example@mail.com
Are you currently taking any medication for your mental health?
How are you feeling at the moment?
Do you have any thoughts of wanting to hurt yourself or anyone else over the last few weeks?
Are you likely to act on these thoughts?
Please call the practice or 111 out of hours.
Are you currently working?
If you are taking medication do you feel stable on your medication?
If you are taking medication do you want to increase or decrease your medication?