THYROID REVIEW

Please follow the instructions at this link to measure your heart rate

We can only accept height in cm and weight in kg. Please click here for a converter.

I understand this form is not for Urgent Care. I am happy for Chartfield to contact me as appropriate and for this information to be entered into my medical record. I am submitting this information for myself or as the authorised proxy of someone else.

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DO NOT ATTEND THE SURGERY UNLESS INSTRUCTED.

FACE COVERINGS ARE MANDATORY.

THYROID REVIEW