Dispensing Review of Use of Medication (DRUM)

Page {{ paginatorProps.current }} of {{ paginatorProps.total }} ({{ paginatorProps.percentage }}% completed)

Personal Details

This form should not be used for Repeat Medication Requests.

We review any regular medication on a repeat prescription annually and wherever possible the doctor will do this without you having to attend the surgery.

If you have been advised by the surgery that your medication review is due please use this form.

Please double check you've entered the correct email address

May be used to identify you

Processing

Dispensing Review of Use of Medication (DRUM)

Concordance: Do you understand the purpose of each of your medications?: *

Compliance: Are you able to take your medication as directed on the labels?: *

Efficacy: Are your medicines effective in controlling your symptoms?: *

Side Effects: Have you experienced any side effects which may be attributable to your medication?: *

Using your medicines: Do you have any problems which, if addressed, would assist you in taking your medication?: *

Reduce Wastage: Have you stopped taking any medications and can these be removed from your Repeat List?: *

Processing

Privacy Consent

This form collects personal and medical information about you and we use this information to allow the practice team to contact you.
Please read our Privacy Policy to discover how we protect and manage your submitted data.

Processing

There appears to be a problem loading the form, please refresh the page.
If the error persists please contact us.