Biddulph Primary Care Centre, Wharf Road, Biddulph, Staffordshire, ST8 6AG

Online: Contact Us Online
Telephone: 0300 404 2987 ( Out of hours: 111 )

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Patient Health Questionnaire

To help us keep your medical record up-to-date, we would be grateful if you would take a few minutes to complete our Health Questionnaire. The information requested is basic and is of course confidential.

Additionally, the Department of Health has asked all G.P practices to ascertain the smoking habits of their patients so that services and resources can be directed appropriately.

It is therefore important that patients completing these forms confirm whether or not they are a current smoker, a past smoker or have never smoked tobacco.

If you do not wish to complete the medical records update online, please contact us and we will arrange a paper copy to be sent to you.

Thank you.

Access the online version of The Patient Health Questionnaire.