Wallington Family Practice > Services > Forms > Health Review Forms > Antidepressant Medication Review

Antidepressant Medication Review

We can offer a telephone/video review rather than having patients attend the surgery unnecessarily. Many people have been taking antidepressants for a long period and are reluctant to stop this medication .

If you are considering stopping the medication. See How should you come off antidepressants?

First Name *

Last Name *

Email *

Enter Email

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Have you read about the long term issues of antidepressants use? *

Yes

Do you wish to continue with your antidepressant medication over the next 6 months? *

Yes

Phone Number to contact you *

One of our clinicians will contact you on this number in the next couple of weeks.

The practice will be in contact. Any comments you would like to add?

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This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

Your consent *

I consent to the practice collecting and storing my data from this form.

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Antidepressant Medication Review

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