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Feeling down or anxious? Beating the Blues 24/7 can help…
kooth
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Preventative Medicine
Annual Health Check
Flu Vaccination
Pneumococcal vaccine for adults
Screening Services
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Menu
Home
About Us
Baby Friendly
Charity
Contact
Sign up for the Patient Participation Group
Contact Telephone Numbers
Location
Opening Times
What to do when we are Closed
Send a Message
Making the Most of your Practice
Our Team
Doctors
Community Staff
Nurses
Practice Administration Team
Practice Pharmacist
Community Links Practitioner
Welfare Advice & Health Partnership – Money Matters Advisor
Patient Participation Group
Practice Policies
Access to your Health Records
Accessible Information Standard
Chaperones
Chaperone Policy
Clinical Governance
Clinical Research
Cookie Policy (UK)
Complaints
Confidentiality
Consent Protocol
Disability Access
Duty of Candour
Emergency Care Summary Record
Equality and Diversity
Freedom of Information
Information for young people using NHS services
Healthcare for refugees, asylum seekers and overseas visitors
Infection Control Statement
Quality Assurance
NHS Patient Rights
Non-Smoking Premises
Patient Advice and Support Service (PASS)
Privacy Policy – GDPR
Removal of Patients From our List
Shared Decision Making
Sharing your Information with Others
Scottish Primary Care Information Resource (SPIRE)
Subject Access Request (SAR) – Request your Records
Unacceptable Actions Policy
Website Terms and Conditions
Respect / Working Together Policy
Regulations & Governance
Entitlement to NHS Treatment
Teenage Friendly
Administration
Get a Sick or Fit Note
Health Review Forms
Alcohol Consumption Review Form
Asthma Review Form
Blood Pressure Review Form
Breathlessness Review Form
Epilepsy Review Form
Male Urinary Tract (IPSS) Review Form
Mental Health Review (PHQ-9) Form
Smoking Review Form
Travel Risk Assessment Form
Register with us as a New Patient
Temporary Services
Registration Policy
Update your Personal Details Forms
Change of Contact Details Form
Register as a Carer Form
Register for Online Services Form
Summary Care Record Opt-out Form
Communication Consent Form
Appointments, Tests & Referrals
Appointments
Book an Appointment
Cancel an Appointment
Extended Opening Hours
Get Immediate Help from Your Pharmacist
Get Immediate Help for Minor Injuries
Help with your GP Appointment
NHS Near Me Video Appointments
See a Doctor or Healthcare Professional
Tests & Investigations
Access your Test Results
Tests and Treatments
What is a Blood Test?
X-Ray
Referral for Further Care
Referral to Hospital by your GP
Who do I See?
Clinics & Services
Clinics
Antenatal Care
Our Clinics
Child Health Checks
Diabetes Services & “My Diabetes My Way “
Travel Clinic & Holiday Vaccinations
Practice Services
Chronic Medication Service
Dementia Services
Interpreting Service
Hepatitis B Immunisation
Home Visits
Housebound & Older People
NHS Services
NHS Services – Rights & Responsibilities
Non NHS Services – Chargeable
Patient Transport Service
Pharmacy Collection Service
Texting Service
Services for Carers
Your Health
Alcohol & Drug Services
Children’s Health
Childline
Change4Life
ERIC – The Children’s Bowl & Bladder Charity
Healthy Start – Vitamins in Scotland
Triple P – Positive Parenting Programme
Your Guide to Coughs, Colds, Earache & Sore Throats for your Child
Vaccination Schedule for Children
General Health Advice
Antibiotic Awareness
When to use Antibiotics
Back problems
Cough? Self-help guide
Diarrhoea and Vomiting – Dos and Don’ts
Scotland’s Health and Care News Channel
Managing your Infection
Strong painkillers and Driving
Help & Support
Coronavirus (COVID-19)
Care & Support
Age UK
Amina – The Muslim Women’s Resource Centre
Are you a Carer?
Asbestos
Bereavement
What to do after Death
Cancer in children and young people
Cancer Support Services
Care Information Scotland
Carers Scotland
Cruse Bereavement Care Scotland
Community Health or Social Care Service Glasgow
End of Life Care
#hellomynameis
Babies, children and young people
‘ Just in Case ‘ medicines
Questions and concerns about end of life care
Health Unlocked
NHS Pharmacy First
Orchid – Fighting Male Cancer
Organ Donation Scotland
Over 60 + or have a Disability? Eligible for free bus travel
Parkinson’s Disease
Penile Cancer
Same You
Social Care & Support
Scottish Refugee Council
Telecare – Try our self check online tool
The Brain Tumour Charity
Touched by Suicide Scotland
Turning Point Scotland
Health & Wellbeing
Melanoma Action and Support Scotland
Falls risk screening
Testicular lumps and swellings
Testicular Cancer – Check Yourself
Help & Support in your Area
Amina – The Muslim Women’s Resource Centre
Free Evening Transport Service
Glasgow Life
The Good Morning Service
Disability
Autism
Action on Hearing Loss
Capability Scotland
Disability Information Scotland
Disability Rights UK
Hearing Loss
Learning Disabilities
National Autistic Society
Sense Scotland
Vision Impairment
Wheelchair users and Disabled People
Lifestyle Changes
Physical Activity – The Single best Medicine
Social Prescribing
Stop Smoking Service
Weight Management
Obesity
Healthy Eating
Eatwell Guide
Food allergy
Food and Nutrition
Food Standards Scotland
Vitamin B12 or folate deficiency anaemia
Long Term Conditions
Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Breast Cancer (female)
Dementia
Dementia Care and Support
Dementia with Lewy bodies
Making Space
Diabetes
Type 1 Diabetes
Type 2 Diabetes
Diabetic retinopathy
Epilepsy
High Blood Pressure (Hypertension)
Heart Disease
Osteoarthritis
Prostate Cancer
Transient Ischaemic attack (TIA)
Support and advice for your heart condition
Menopause
Mental Wellbeing
Bereavement
Anxiety
Antidepressants
Breathing Space – Feeling Low, Anxious or Stressed?
Depression
Feeling down or anxious? Beating the Blues 24/7 can help…
kooth
Five steps to mental wellbeing
Lifelink
Managing emotional effects
Mental Health – General advice
Mind – For better Mental Health
Rethink Mental Illness
SAMH – For Scotland’s Mental Health
Samaritans
SANE
Scottish Mental Health Service for Deaf People
Suicidal?
Togetherall – Free to all aged 16-24 in Glasgow
Order a Repeat Prescription
Wasted Medications
Pregnancy & Baby
Baby Box
CRY-SIS Helpline
Diagnostic tests in Pregnancy
Newborn Hearing Test
Mid pregnancy scan (fetal anomaly scan)
Postnatal Depression
Pregnancy and Baby Payment
Ready Steady Baby!
Women and Families Maternal Mental Health Pledge
Preventative Medicine
Annual Health Check
Flu Vaccination
Pneumococcal vaccine for adults
Screening Services
Sexual Health & Sexuality
Contraceptive Advice
Getting and using Contraception
Free Condoms
LGBT Helpline Scotland information and support
Sandyford Clinic
Sexual Health Scotland
Sexually transmitted disease
Young People
The Mix
Young Scot
See Me
Ypeople
Self Help Guides
News
Patient Comments
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Breathlessness Review Form
Braidcraft Medical Centre
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Breathlessness Review Form
Breathlessness Review
First Name
*
Last Name
*
Email
*
Enter Email
Confirm Email
*
Confirm Email
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
Phone Number
*
Your Breathlessness Review
How do you rate your level of breathlessness?
*
I’m not troubled by breathlessness
I get breathless when I undertake vigorous exercise
I get short of breath when hurrying or walking up slopes
When walking I have to stop from time to time or walk slower due to breathlessness
I have to stop for breath after a few minutes of walking a short distance on level ground
I’m too breathless to leave the house and get breathless when getting dressed
Privacy Policy
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our
Privacy Policy
to discover how we protect and manage your submitted data.
*
I consent to the practice collecting and storing my data from this form.
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