Little Bushey Surgery

Useful Resources

BBC Health News

'Miracle' six-day-old baby survives Ebola14 Dec 2018 16:12It took five weeks of round-the-clock treatment to keep Benedicte alive after her mother died.
Obamacare: Texas court rules key health law is unconstitutional15 Dec 2018 10:01The challenge from a coalition of 20 US states is now likely to go to the US Supreme Court.
Why did Rachel Johnston die after having all her teeth removed?14 Dec 2018 00:02The families of three people with learning difficulties tell the BBC all their teeth were taken out.
Breast cancer screening error 'overstated'14 Dec 2018 12:24There was no major incident, just confusion, and the scale of the problem was overstated, a report finds.
Meat or two veg? Find out your food’s climate footprint13 Dec 2018 16:47Check the environmental impact of what you eat and drink.
Overweight patient denied NHS operation by York CCG14 Dec 2018 14:21Roland Crooke took a loan to pay for private treatment after being told to lose weight for hip surgery

Update Clinical Record

Please complete the online form below to update your clinical records.

1Update Clinical Record

Title

Full name

Date of Birth

Address

Postcode

Home Telephone

Mobile Telephone

What is your first language?

What is your ethnicity?

Are you allergic to any medications? Please state which ones.

2Height & Weight

HeightPlease advise if provided in feet and inches or centimetres

WeightPlease advise if provided in stones and pounds or kilogrammes.

WaistPlease advise if provided in inches or centimetres

3Blood Pressure

What is your blood pressure?

4Smoking

Have you ever smoked tobacco?

If you are currently a smoker and would like to stop please contact the surgery to discuss this further.

5Alcohol

( 1 drink = 1/2 pint of beer or 1 glass of wine or 1 single spirits)

How often do you have a drink containing alcohol?

How many standard drinks containing alcohol do you have on a typical day when drinking?

During the past year, how often have you found that you were not able to stop drinking once you had started?

During the past year, how often have you failed to do what was normally expected of you because of drinking?

During the past year, have you been unable to remember what happened the night before because you had been drinking?

Have you or somebody else been injured as a result of your drinking?

Has a relative, friend, doctor or health worker been concerned about your drinking or suggested you cut down?

6Depression

Could you be depressed?

7Carer

A carer is someone who looks after an elderly person or someone who is disabled. We do not mean a carer of a child.

Are you a carer?

8Other Information

Which of the following best describes you?

Any additional information.

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This information is not shared with any third party organisations.

This information is retained for up to 28 days.

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Little Bushey Surgery • Little Bushey Surgery, California Lane, Bushey, Herts, WD23 1EZ.

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