Use this service to submit a routine review of your smoking.
You can use this service if you:
- are registered at the surgery
- have been invited to do so
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
If you would like advice on stop smoking please visit the Wellbeing page.
You can also phone us on 01453 540555.