Use this service to submit a routine review of your alcohol consumption.
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
You can also phone us on Albion House 01384 465422 or Withymoor Surgery 01384 465422 or visit the surgery in person.