Whinpark Medical Centre

NHS Scotland
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Urinary Symptom Form

If you are stable and simply wish to continue medication please answer the following questions.

Urinary Symptoms
Please use format day/month/year e.g. 12/05/1979
Do you think your medication is benefitting you?
Do you wish to continue it at the current dose?
Do you have any troublesome side effects on medication?

Privacy Policy

This form collects your name, date of birth, email, 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. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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