Mental Health Medication Review

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All questions marked with a * are mandatory

If you are worried about your current mental health, please contact us on 01373 301301 for further support.
Further details on NHS mental health support, including contact details for 24 hour advice and support can be found on the NHS website.

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Personal details
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Mental health medication review
Have you experienced any side effects from your current medication(s)? : *
Do you have any questions or concerns with your medication(s)?: *
Do you have a good support network?: *
Do you buy any regular medications over the counter?: *
e.g. from a pharmacy
Can you provide us with a recent blood pressure reading?: *

If yes, please provide a reading here:

Are you are considering reducing or stopping your mental health medication(s)?: *
Do you require an appointment with one of our clinicians to discuss your medications further?: *
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Did you know that being physically active helps to improve mild depression and anxiety 1.5 times more than medication.

Feeling connected to family, friends and our community is important for your health and wellbeing.  

There are also other ways of improving your health.  This might be by moving more, eating and drinking healthier options, building fulfilling relationships or taking time for yourself.  Our health connections team can support you in making small, manageable changes to your lifestyle, which can help you to look after your mental health.

Would you like the health connections team to contact you to discuss lifestyle support and advice?: *
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