Update Clinical Record

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

1Update Clinical Record

2Height & Weight

Please advise if provided in feet and inches or centimetres
Please advise if provided in stones and pounds or kilogrammes.
Please advise if provided in inches or centimetres

3Blood Pressure

4Smoking

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)

6Depression

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.

8Other Information


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home? Donna Karpel
Little Bushey Surgery, California Lane, Bushey, Herts, WD23 1EZ
  • Telephone 020 8386 8888
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home? Donna Karpel
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