Glendevon Medical Centre

01626 770955

Riverside Surgery

01626 873331

Asthma Review Questionnaire

  • Privacy Notice:

    Please note that information submitted via this form will be stored on the practice's website for up to 5 working days before being permanently erased, in most cases submitted forms will be downloaded for review and deleted from the website within 2 working days. Completed forms will be added to your electronic health record (SystmOne record) for future reference. Our website is hosted by and their privacy policy can be viewed here By submitting this form you are agreeing for your information to be stored securely on the practice's website. If you do not agree for your information to be securely stored on the practice website, please do not complete this form, paper forms can be collected from Reception, or requested by emailing
  • If you are ready or thinking about stopping smoking for further information and support please visit our NHS Smokefree Support Service page which can be found under the Services heading on our main menu.

If you would like to check your inhaler technique is correct, please take a moment to visit the link below provided by Asthma UK