Change Your Contact Details

You can help us to keep our records current and accurate. Please contact the surgery to inform us of any changes. Telephone  01142326401 or email sheffield.southeygreensms@nhs.net .Given we are delivering more services remotely it is important that we have an up to date telephone number.

Name and address

Contact details
If you are changing your address, upload a photo of an addressed photo ID or utility bill below
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Clinical details

Height & Weight etc
Smoking
Do you smoke?
There are plenty of options available to help you quit. Is this something you would like us to contact you about?
Alcohol

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.

How often do you have a drink containing alcohol?

How many units of alcohol do you drink on a typical day when you are drinking?

How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year?

How often during the last year have you been unable to remember what happened the night before because you had been drinking?
How often during the last year have you failed to do what was normally expected of you because of drinking?
In the last year has a relative or friend, or a doctor or other health worker been concerned about your drinking or suggested you cut down?
Other information
Do you look after someone?
What is your ethnicity?
Nationality
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