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Downloadable Forms

Your doctor may have advised you to use a health form, or you may wish to notify us of something; please find documents below to print and return to the surgery.

  • HBPM (Home Blood Pressure Monitoring)
  • Epworth Sleepiness Score (Sleep Apnoea)
  • IPSS (International prostate symptom score)
  • Diary Template to record your blood glucose measurements
  • Be Well Self Referral Form
  • Physio Self Referral Form
  • Self Help Referral Form
  • CAMHS Self Referral Form
  • Consent to disclose medical information
  • Online Access Form
  • Statutory Sick Note Request
  • Subject Access Request

Health Information

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  • Test results
  • Think Pharmacy First
  • Who Do I See?
  • Your Health

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Dr Khan's Practice
Clayton Health Centre,
89 North Road,
Clayton,
M11 4EJ
Get Directions
0161 223 1658
gmicb-mh.drkhan@nhs.net
Mo,Tu,We,Th,Fr 8:00 am – 6:00 pm
 
 

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