Cancer Care Review
This secure online review allows us to monitor your health and wellbeing following a cancer diagnosis, complete a medication review if required, and gather some relevant lifestyle information. This is known as a Cancer Care Review and is designed to understand and respond to the different types of support you might need.

Your answers will always be seen by the practice team, and you can indicate at the end if you feel further discussion is needed.

OPTIONAL: you can enter your weight and height

Your answers will be attached to your medical record but may not be seen immediately. This system should never be used if you are in need of urgent medical attention. In this event, please contact the appropriate services (999 or 111) or the practice as normal.
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Practice Name - OFFICE USE ONLY *
This review is only for patients registered at the practice below. Please do not change under any circumstances
Data Processing Notice
Participation
To participate in this online review you must confirm the following by ticking each box. If you are unable to do so please contact the practice
First name *
Surname *
Month of birth *
Day of birth *
Year of birth *
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