CONFIDENTIAL MEDICATION IF YOUR RESIDENCE IS MORE THAN ONE MILE AWAY FROM LLOYDS PHARMACY / Pharmacy Services Benefit Information Respite/Taking / /
MedicalCondition
GLAUCOMA / BREAST CANCER___________________________________OVARIAN CANCER____________________________ BOWEL CANCER / ANY KNOWN ALLERGIES / THYROID DISEASE / flu / learning disability / HEART ATTACK____________________________________STROKE / PROSTATE CANCER / illness / DIABETES / E.G. DIABETES / harmful drinking FAMILY HISTORY HAVE ANY CLOSE RELATIVES SUFFERED FROM ANY OF THE FOLLOWING DISEASES / /
MedicalTreatment
Surgery / counselling / /
Organization
Carers Support Service / Henfield Medical Centre / MEDICAL CENTRE / /
PRIVATE & CONFIDENTIAL HENFIELD MEDICAL CENTRE, DEER PARK, HENFIELD, WEST SUSSEX, BN5 9JQ PATIENT HEALTH DETAILS TO HELP OUR SURGERY OBTAIN IMPORTANT BASIC MEDICAL INFORMATION WHICH WILL ALLOW US TO PRACTICE BETTER MEDIC