Gnosall Surgery

    Gnosall Health Centre, Brookhouse Road, Gnosall, Stafford, ST20 0GP

    Telephone: 01785 822 220
    Out of hours: 111

    Patient Health Questionnaire

    To help us keep your medical record up-to-date, we would be grateful if you would take a few minutes to complete our Health Questionnaire. The information requested is basic and is of course confidential.

    Additionally, the Department of Health has asked all G.P practices to ascertain the smoking habits of their patients so that services and resources can be directed to those patients wishing to quit.

    It is therefore important that patients completing these forms confirm whether or not they are a current smoker, a past smoker or have never smoked tobacco.

    If you do not wish to complete the medical records update online, please contact us and we will arrange a paper copy to be sent to you.

    Thank you.

    Access the Patient Health Questionnaire.