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Bridge of Allan Health Centre

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        • Your Guide to Coughs, Colds, Earache & Sore Throats for your Child
        • Vaccination Schedule for Children
      • General Health Advice
        • Antibiotic Awareness
          • When to use Antibiotics
        • Back problems
        • Cough? Self-help guide
        • Diarrhoea and Vomiting – Dos and Don’ts
        • Falls risk screening
        • Managing your Infection
        • Melanoma Action and Support Scotland
        • Menopause
        • More about Sprains and Strains
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        • Strong painkillers and Driving
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      • Lifestyle Changes
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        • Social Prescribing
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          • Obesity
        • Healthy Eating
          • Eatwell Guide
          • Food allergy
          • Food and Nutrition
          • Food Standards Scotland
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        • Asthma
        • Chronic Obstructive Pulmonary Disease (COPD)
        • Breast Cancer (female)
        • Dementia
          • Dementia Care and Support
          • Dementia with Lewy bodies
          • Making Space
        • Diabetes
          • Type 1 Diabetes
          • Type 2 Diabetes
          • Diabetic retinopathy
        • Epilepsy
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        • Transient Ischaemic attack (TIA)
        • Support and advice for your heart condition
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        • Feeling down or anxious? Beating the Blues 24/7 can help…
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        • Managing emotional effects
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        • Suicidal?
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        • Baby Box
        • CRY-SIS Helpline
        • Diagnostic tests in Pregnancy
        • Newborn Hearing Test
        • Mid pregnancy scan (fetal anomaly scan)
        • Postnatal Care
        • Postnatal Depression
        • Pregnancy and Baby Payment
        • Ready Steady Baby!
        • Women and Families Maternal Mental Health Pledge
      • Preventative Medicine
        • Annual Health Check
        • Flu Vaccination
        • Pneumococcal vaccine for adults
        • Screening Services
        • Shingles
      • Sexual Health & Sexuality
        • Contraceptive Advice
          • Getting and using Contraception
        • Free Condoms
        • Gender Dysphoria
        • LGBT Helpline Scotland information and support
        • Sexual Health Scotland
        • Sexually transmitted disease
    • Help & Support in your Area
      • Braveheart for Healthy Lives
      • Clackmannshire & Stirling Health & Social Care Partnership
      • NHS Forth Valley
    • Help and Support Organisations
      • Amina – The Muslim Women’s Resource Centre
      • Asbestos
      • Age UK
      • Chest Heart & Stroke Scotland
      • MND Scotland
      • Health Unlocked
      • MS Society
      • Other useful links
      • Orchid – Fighting Male Cancer
      • Over 60 + or have a Disability? Eligible for free bus travel
      • Parkinson’s Disease
      • Ready Scotland
      • Same You
      • Scottish Refugee Council
      • Shelter – Scotland
      • Social Care & Support
      • Telecare – Try our self check online tool
      • Turning Point Scotland
      • Touched by Suicide Scotland
      • The Pavement
      • The Brain Tumour Charity
      • We are with you
      • Self Help Guides
    • Palliative Care information
      • Cancer in children and young people
      • Cancer Support Services
      • End of Life Care
        • #hellomynameis
        • Babies, children and young people
        • ‘ Just in Case ‘ medicines
        • Questions and concerns about end of life care
      • Together for Short Lives
    • Supporting Others
      • Stirling Carers Centre
      • Are you a Carer?
      • Care information Scotland
      • Carers Scotland
    • Young People
      • Sexual Healthcare
      • Information for young people using NHS services
      • Bitesize
      • See Me
      • Quarriers
      • Teenage Friendly
      • Think Positive about Student Mental Health
      • The Mix
      • Young Scot
      • Ypeople
  • Your Record
    • Health Review Forms
      • Alcohol Consumption Review Form
      • Asthma Review Form
      • Blood Pressure Review Form
      • Breathlessness Review Form
      • Epilepsy Review Form
      • Male Urinary Tract (IPSS) Review Form
      • Mental Health Review (PHQ-9) Form
      • Smoking Review Form
      • Travel Risk Assessment Form
    • Keep us up to date
      • Change of Contact Details Form
      • Register as a Carer Form
      • Register for Online Services Form
      • Summary Care Record Opt-out Form
      • Communication Consent Form
      • Upload photos or documents
  • COVID-19 Support
    • High Risk Patients
    • Patient information – Guidance access/contacting the Practice
    • Care Planning Conversations
    • Rescue Pack
  • News
Menu
  • Home
  • About Us
    • Contact
      • Contact Telephone Numbers
      • Location
      • Opening hours
        • What to do when we are closed
      • Send a Message
    • Making the most of your Practice
    • Our Team
      • Allied Health Professionals
      • Doctors
      • Nurses
      • Practice Administration Team
      • Practice Pharmacist
    • Practice Policies
      • At the Practice
        • Baby Friendly
        • Accessible Information Standard
        • Chaperones
          • Chaperone Policy
        • Clinical Governance
        • Clinical Research
        • Consent Protocol
        • Disability Access
        • Duty of Candour
        • Equality and Diversity
        • Infection Control Statement
        • Non-Smoking Premises
        • Quality Assurance
        • Practice Charter
        • Removal of Patients from our List
        • Shared Decision Making
        • Social Media
        • Unacceptable Actions Policy
        • Zero Tolerance
      • Data
        • eHealth
        • Freedom of information
        • How NHS Scotland manages your Data
      • Patient Record
        • Accessing your Record
          • Access for Others
          • Subject Access Requests (SAR)
            • Subject Access Request (SAR) – Request your Records
        • Data Sharing Preferences
          • Emergency Care Summary Record
          • Multi-Disciplinary Teams
          • Organ Donation Scotland
          • Scottish Primary Care information Resource (SPIRE)
          • Sharing your information with Others
        • How we use your Data
          • Confidentiality
          • Privacy Policy
        • Online Access
          • Proxy Access – Guidance
      • Patient Rights
        • Complaints, Compliments & Suggestions
        • Entitlement to NHS Treatment
        • Healthcare for refugees, asylum seekers and overseas visitors
        • NHS Patient Rights
        • NHS Services – Rights & Responsibilities
        • NHS Scotland – How it works
        • Patient Advice and Support Service (PASS)
      • Website
        • Accessibility
        • Cookie Policy
        • Disclaimer
        • Copyright
    • Training
  • Appointments, Tests & Referrals
    • Appointments
      • Book an Appointment
      • Cancel an Appointment
      • Extended Opening Hours
      • Get Immediate Help from Your Pharmacist
      • Get Immediate Help for Minor Injuries
      • Help with your GP Appointment
      • NHS Near Me Video Appointments
    • Self-Referral Services
      • Care equipment and adapting your home
      • Call the Midwife
      • Citizens Advice – Stirling District
      • Sexual Healthcare
      • Termination of Pregnancy
      • ALFY – Advice Line for You (to help you remain at home)
      • Physiotherapy (Musculoskeletal disorders)
      • Penumbra – Mental Health Support
      • Sleep Scotland
    • See a Doctor or Healthcare Clinician
    • Tests & Investigations
      • Access Your Test Results
      • Blood Test-information
      • Other Common Tests
      • Urine Tests
      • Tests and Treatments
      • X-Rays & Scans
    • Referral for Further Care
      • Referral to Hospital by your GP
      • Patient Hospital Appointment Line
    • Who do I See?
  • Clinics & Services
    • Clinics
      • Antenatal Care
      • Child Health Checks
      • Diabetes Services & “My Diabetes My Way “
      • Our Clinics
      • Travel Clinic & Holiday Vaccinations
    • Online Services
    • Practice Services
      • Chronic Medication Service
      • Dementia Services
      • Interpreting Service
      • Get a Sick or Fit Note
      • Home Visits
      • Housebound & Older People
      • NHS Minor Ailment Service
      • Non NHS Services – Chargeable
      • Order a Repeat Prescription
        • Antibiotic Use
        • Bridge of Allan Health Centre – Request a Repeat Prescription
        • Special Request Prescriptions
        • Wasted Medications
      • Patient Transport Service
      • Pharmacy Collection Service
      • Register with us as a New Patient
        • Temporary Services
        • Registration Policy
      • Texting Service
      • Services for Carers
  • Your Care
    • Bereavement
      • At a Loss
      • Cruse Bereavement Care Scotland
      • What to do after Death
    • Disability
      • Autism
      • Action on Hearing Loss
      • British Deaf Association
      • Capability Scotland
      • Disability information Scotland
      • Disability Rights UK
      • Enable Scotland
      • Hearing Loss
      • Learning Disabilities
      • National Autistic Society
      • Sense Scotland
      • Vision Impairment
      • Wheelchair users and Disabled People
    • Health & Wellbeing
      • Children’s Health
        • Childline
        • Change4Life
        • ERIC – The Children’s Bowl & Bladder Charity
        • Healthy Start – Vitamins in Scotland
        • Triple P – Positive Parenting Programme
        • Think to drink H20
        • Your Guide to Coughs, Colds, Earache & Sore Throats for your Child
        • Vaccination Schedule for Children
      • General Health Advice
        • Antibiotic Awareness
          • When to use Antibiotics
        • Back problems
        • Cough? Self-help guide
        • Diarrhoea and Vomiting – Dos and Don’ts
        • Falls risk screening
        • Managing your Infection
        • Melanoma Action and Support Scotland
        • Menopause
        • More about Sprains and Strains
        • My Live Well with Pain
        • Scotland’s Health and Care News Channel
        • Strong painkillers and Driving
        • Testicular lumps and swellings
          • Testicular Cancer – Check Yourself
        • Vitamin B12 or folate deficiency anaemia
      • Lifestyle Changes
        • Alcohol & Drug Services
        • Physical Activity – The Single best Medicine
        • Social Prescribing
        • Stop Smoking Service
        • Weight Management
          • Obesity
        • Healthy Eating
          • Eatwell Guide
          • Food allergy
          • Food and Nutrition
          • Food Standards Scotland
      • Long Term Conditions
        • Asthma
        • Chronic Obstructive Pulmonary Disease (COPD)
        • Breast Cancer (female)
        • Dementia
          • Dementia Care and Support
          • Dementia with Lewy bodies
          • Making Space
        • Diabetes
          • Type 1 Diabetes
          • Type 2 Diabetes
          • Diabetic retinopathy
        • Epilepsy
        • High Blood Pressure (Hypertension)
        • Heart Disease
        • My Lungs My Life – Inhalers
        • Osteoarthritis
        • Prostate Cancer
        • Self Help 4 Stroke
        • Transient Ischaemic attack (TIA)
        • Support and advice for your heart condition
      • Mental Wellbeing
        • Anxiety
        • Antidepressants
        • Bipolar Scotland
        • Breathing Space – Feeling Low, Anxious or Stressed?
        • Depression
        • Feeling down or anxious? Beating the Blues 24/7 can help…
        • Five steps to mental wellbeing
        • Health in Mind
        • Lifelink
        • Managing emotional effects
        • Mental Health – General advice
        • Mental Health & Money Advice
        • Mind – For better Mental Health
        • Rethink Mental Illness
        • SAMH – For Scotland’s Mental Health
        • Samaritans
        • SANE
        • Scottish Mental Health Service for Deaf People
        • The Scottish Recovery Network
        • Suicidal?
      • Pregnancy & Baby
        • Baby Box
        • CRY-SIS Helpline
        • Diagnostic tests in Pregnancy
        • Newborn Hearing Test
        • Mid pregnancy scan (fetal anomaly scan)
        • Postnatal Care
        • Postnatal Depression
        • Pregnancy and Baby Payment
        • Ready Steady Baby!
        • Women and Families Maternal Mental Health Pledge
      • Preventative Medicine
        • Annual Health Check
        • Flu Vaccination
        • Pneumococcal vaccine for adults
        • Screening Services
        • Shingles
      • Sexual Health & Sexuality
        • Contraceptive Advice
          • Getting and using Contraception
        • Free Condoms
        • Gender Dysphoria
        • LGBT Helpline Scotland information and support
        • Sexual Health Scotland
        • Sexually transmitted disease
    • Help & Support in your Area
      • Braveheart for Healthy Lives
      • Clackmannshire & Stirling Health & Social Care Partnership
      • NHS Forth Valley
    • Help and Support Organisations
      • Amina – The Muslim Women’s Resource Centre
      • Asbestos
      • Age UK
      • Chest Heart & Stroke Scotland
      • MND Scotland
      • Health Unlocked
      • MS Society
      • Other useful links
      • Orchid – Fighting Male Cancer
      • Over 60 + or have a Disability? Eligible for free bus travel
      • Parkinson’s Disease
      • Ready Scotland
      • Same You
      • Scottish Refugee Council
      • Shelter – Scotland
      • Social Care & Support
      • Telecare – Try our self check online tool
      • Turning Point Scotland
      • Touched by Suicide Scotland
      • The Pavement
      • The Brain Tumour Charity
      • We are with you
      • Self Help Guides
    • Palliative Care information
      • Cancer in children and young people
      • Cancer Support Services
      • End of Life Care
        • #hellomynameis
        • Babies, children and young people
        • ‘ Just in Case ‘ medicines
        • Questions and concerns about end of life care
      • Together for Short Lives
    • Supporting Others
      • Stirling Carers Centre
      • Are you a Carer?
      • Care information Scotland
      • Carers Scotland
    • Young People
      • Sexual Healthcare
      • Information for young people using NHS services
      • Bitesize
      • See Me
      • Quarriers
      • Teenage Friendly
      • Think Positive about Student Mental Health
      • The Mix
      • Young Scot
      • Ypeople
  • Your Record
    • Health Review Forms
      • Alcohol Consumption Review Form
      • Asthma Review Form
      • Blood Pressure Review Form
      • Breathlessness Review Form
      • Epilepsy Review Form
      • Male Urinary Tract (IPSS) Review Form
      • Mental Health Review (PHQ-9) Form
      • Smoking Review Form
      • Travel Risk Assessment Form
    • Keep us up to date
      • Change of Contact Details Form
      • Register as a Carer Form
      • Register for Online Services Form
      • Summary Care Record Opt-out Form
      • Communication Consent Form
      • Upload photos or documents
  • COVID-19 Support
    • High Risk Patients
    • Patient information – Guidance access/contacting the Practice
    • Care Planning Conversations
    • Rescue Pack
  • News
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Health Review Forms

Bridge of Allan Health Centre > Your Record > Health Review Forms

Please complete the appropriate health review form if you have been advised to do so by a healthcare professional. The surgery will contact you if any further information is required.

Download and complete

Asthma Control Test Download
Bladder DiaryDownload
CAT COPD QuestionnaireDownload
Childhood Asthma Control TestDownload
Epworth Sleepiness ScaleDownload
HADS Scoring sheetDownload
Home Blood Pressure MonitoringDownload
International Prostate Symptom Score (IPSS)Download
Medicines Sick Day RulesDownload
Peak Flow DiaryDownload
Respect (Recommended Summary Plan for Emergency Care and Treatment)Download
Sick Day Rules Information Leaflet Download
Urine Sample FormDownload

Online Forms

Alcohol Consumption Review Form
Asthma Review Form
Blood Pressure Review Form
Breathlessness Review Form
Epilepsy Review Form
Male Urinary Tract (IPSS) Review Form
Mental Health Review (PHQ-9) Form
Smoking Review Form
Travel Risk Assessment Form

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Bridge of Allan Health Centre

Fountain Road
Bridge of Allan
Stirlingshire
FK9 4EU

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