Streamside Surgery Thornbury Health Centre, Eastland Road, Thornbury, BS35 1DP

Forms / Documents

Please find below a few useful forms some of which we may ask you to complete and return to us.
When downloading any forms, we ask you to also write on the top your full name, your date of birth and the 1st line of your address before handing it back to us.

Patient Details:

Change Of Address Form

Consent To share Information Form

Review forms that we or the GP may ask you to fill out:

Contraceptive Pill

HRT / Menopause review form

Oxford Hip with scores

Oxford Knee with scores

The Keele Start Back Screening

Home Blood Pressure Monitoring Form

Asthma Review Questionnaire

COPD Review Questionnaire

Alcohol Consumption Questionnaire

Smoking Questionnaire

Mediterranean Diet Score

PHQ-9 Health Questionnaire

Leaflets:

PSA Testing Leaflet

Online Services:

Online Access Registration Form

Proxy Access Form