Hello

This is your annual COPD check. You will not need to attend the Surgery.

This is the first step of the process. You will have to record certain information about your COPD Symptoms.

After we receive this information, we will review your records and call or text you with any changes to your medication in the next few weeks.

Things you need to know:

  • COPD is caused directly by how long and much you have smoked.
  • COPD improves greatly if you stop smoking.
  • Vaping is an alternative to smoking.
  • Exercise will always improve your breathing.

COPD
Enter Email
Please use format day/month/year e.g. 12/05/1979

COPD Review

e.g. 65 kg
How Breathless are you? *
Do you smoke? *
Are you an ex smoker? *
Please use format day/month/year e.g. 12/05/1979
You can buy a saturation monitor cheaply online
How many times have you been admitted to hospital this year with your chest? *
How many courses of antibiotics and steroids have you had in the last year for your COPD? *
Do you have a COPD self management plan at home? *
Do you have standby antibiotics and steroids in the house as part of your treatment plan? *
One of our clinicians will contact you on this number in the next couple of weeks.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.