Alcohol Consumption Review

If you have been invited to submit an alcohol consumption review, please complete this form.

Alcohol Consumption Review

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

Please note that your email address will be saved as part of your contact details in your medical records. We may contact you via your email address if you become locked out of your online account and need your password sent, or to send you health questionnaires.

In future we may send you clinical letters via email instead of as a posted letter for speed and to reduce our carbon footprint. You can opt-out of this by telling the Practice.

This is one unit of alcohol:

And each one of these, is more than one unit: