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The Whitswood Practice NHS GP Surgery in Manchester

Hypothyroidism review

Hypothyroid Self Assessment

Weight: *

Pulse: *

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

Change in Weight:

Abnormal weight gain

Abnormal weight loss

About stable weight

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

Yes

No

I can’t remember

*

I confirm that I have been advised by a member of staff to complete this assessment

If you are human, leave this field blank.

Alexandra Park Health Centre
2 Whitswood Close
Manchester
M16 7AP

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01612 263 620

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