For non- urgent issues download and complete forms below. Please bring these with you to Surgery for Dr or Nurse HCA appointment or Email to : harbourside.healthcentre@wales.nhs.uk
A NEW PATIENT’S ESSENTIAL FORMS
Thank A NEW PATIENT’S QUESTIONNAIRE & REGISTRATION FORM Registration Form in Download Format F1 : New Patient Form : Harbourside Health Centre new patient questionnaire You can fill in REGISTRATION FORM ... [continue] A NEW PATIENT’S ESSENTIAL FORMS
ASTHMA & Peak Flow Forms
ASTHMA AS 1: Asthma Review Self Assessment Form AS 2: Asthma Peak Flow Diary AS 3 : Peak Flow recording
COPD
COPD CO2: COPD self- management plan CO1: COPD Assessment Tool
EPILEPSY REVIEW SHEET
EPILEPSY REVIEW SHEET E1 : Epilepsy Review Action Plan
HEART FAILURE
HEART FAILURE HF1 : – Heart Failure Traffic Lights Checklist HF2 : Heart Failure Plan Record
Home BP recording
HOME BP MONITOR SHEET BP1 : Home BP monitoring Record Sheet
MEDICATION REVIEW
M1: med rev form Download & fill Medication Review Form, Email to Practice or Drop at Reception
