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Painswick Surgery NHS GP Surgery in Gloucester

Hypothyroidism review

Hypothyroid Self Assessment

Weight: *

Pulse: *

If it is less than 60 or above 80 when resting please discuss this with your doctor

Have you had any significant change in weight over the last 9 months? *

Intentional weight gain

Intentional weight loss

Unintentional weight gain

Unintentional weight loss

No change in weight

Have you had your blood tested for thyroid in the last 9 months? *

Yes

No

I can’t remember

If you are human, leave this field blank.

Hoyland House
Gyde Road
Stroud
GL6 6RD

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01452 812545

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