Pill Check

Please find below our Pill Check form which is available in a couple of formats. Once you have completed this form please email it to: hollies.prescriptions@nhs.net 

Alternatively if your device is unable to edit the forms please use the built in form at the bottom of the page. 

Please provide a recent blood pressure reading. This is very important, you can also go to a pharmacy to have your blood pressure taken.

This form collects your name, date of birth, and other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. 

Pill check form.doc