Use this service to submit a routine review of your alcohol consumption.
You can use this service if you:
- are registered at the surgery
 - have been invited to do so
 
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
 - if applicable, the details of the person you are completing the form on behalf of
 
You can also phone us on St Mark’s Road 01332 224588 or Sitwell Street 01332 673905.