Sloan Medical Centre | Medical Centre Sheffield | GP Sheffield | Care Sheffield

Smoking Form

We know that your health can be made better or worse by a range of things not normally considered by the NHS, we call these social issues. Examples are illustrated in the picture below, but there could be others:

Name *

D.O.B *

Address *

If you think social issues could be affecting your health and wellbeing we can arrange support to try and help.

This support will be offered by specialist staff, trained to support you.

Please answer our social questions below:

Would you like to talk about social issues affecting you?

Yes

Do you smoke?

Yes

If you do smoke would you like support to quit?

Yes

Sloan Medical Centre

Blackstock Road Surgery

Sloan Medical Centre | Medical Centre Sheffield | GP Sheffield | Care Sheffield

Smoking Form

Smoking Form

If you think social issues could be affecting your health and wellbeing we can arrange support to try and help.

Sloan Medical Centre

About Us

Useful Information

Sloan Medical Centre

Blackstock Road Surgery