Ensure that you complete all steps of this form to successfully inform us of updates to your clinical record.

Please note that this facility is ONLY for updating us on your lifestyle changes, such as smoking and exercise status, and ONLY for patients who are registered with our practice. You should contact the surgery directly to tell us about any other changes.

Step 1: Personal Details

Step 2: Body Measurements

Step 3: Smoking Status

Step 4: Alcohol Consumption

1 drink = 1/2 pint of beer or 1 glass of wine or 1 single spirits.

1 unit of alcohol = 10cc of alcohol. So, a small glass (125cc) of 12% wine is 12.5 * 0.12 = 1.5 units.

Step 5: Other Information