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Asthma Questionnaire

Please complete the following questionnaire.

If we think your asthma requires further assessment after reading the questionnaire, we will get in touch with you to see our Asthma Nurse. If you would like your asthma reviewed at any point, you can also make an appointment for the Asthma Nurse or your own GP.

Further information about asthma is available from Asthma UK.

1Asthma Questionnaire

If you would like help in stopping smoking, please contact your local pharmacy directly, or the local Stop Smoking Service on 0131 537 9914.

If you use a Spacer or Aerochamber device with your Inhalers, please ensure you renew it every 12 months, as these devices do become less effective after a year of use.

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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37 Imrie Place, Penicuik, EH26 8LF
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Your Neighbourhood Professionals. Just a Click Away! D I Y Dad Genie Maids Have you made a will? Scotmid Funeral Services
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