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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

GAD-7 Anxiety

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

About Our Surgery

  • Patient Participation Group
  • Forms / Documents
  • Complaints
  • Young Carers
  • Social Prescribing
  • Carers Support
  • New Patients
  • Current Vacancies
  • Accessing someone else’s information
  • Friends & Family Test
  • Meet the Team

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Streamside Surgery
Thornbury Health Centre
Eastland Road
Thornbury
BS35 1DP
Get Directions
01454 412167
Mo,Tu,We,Th,Fr 8:00 am – 6:30 pm
CQC logo
Streamside Surgery - Thornbury Health Centre
CQC overall rating
Good
25 May 2016
See the report

 
 

en English▼
af Afrikaanssq Albanianam Amharicar Arabichy Armenianaz Azerbaijanieu Basquebe Belarusianbn Bengalibs Bosnianbg Bulgarianca Catalanceb Cebuanony Chichewazh-CN Chinese (Simplified)zh-TW Chinese (Traditional)co Corsicanhr Croatiancs Czechda Danishnl Dutchen Englisheo Esperantoet Estoniantl Filipinofi Finnishfr Frenchfy Frisiangl Galicianka Georgiande Germanel Greekgu Gujaratiht Haitian Creoleha Hausahaw Hawaiianiw Hebrewhi Hindihmn Hmonghu Hungarianis Icelandicig Igboid Indonesianga Irishit Italianja Japanesejw Javanesekn Kannadakk Kazakhkm Khmerko Koreanku Kurdish (Kurmanji)ky Kyrgyzlo Laola Latinlv Latvianlt Lithuanianlb Luxembourgishmk Macedonianmg Malagasyms Malayml Malayalammt Maltesemi Maorimr Marathimn Mongolianmy Myanmar (Burmese)ne Nepalino Norwegianps Pashtofa Persianpl Polishpt Portuguesepa Punjabiro Romanianru Russiansm Samoangd Scottish Gaelicsr Serbianst Sesothosn Shonasd Sindhisi Sinhalask Slovaksl Slovenianso Somalies Spanishsu Sundanesesw Swahilisv Swedishtg Tajikta Tamilte Teluguth Thaitr Turkishuk Ukrainianur Urduuz Uzbekvi Vietnamesecy Welshxh Xhosayi Yiddishyo Yorubazu Zulu

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