Smoking Review

Many of our usual procedures have been amended in response to the current Coronavirus pandemic. Please check our Coronavirus Updates page for the most up to date guidance.

If you have been advised by the surgery to submit a smoking review on a regular basis please use this form.

Smoking Review

Smoking Review

About You

Please use this date format: DD/MM/YYYY.

Smoking Review

Do not currently smoke section

Do currently smoke section

Click here for free advice and support in Buckinghamshire

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