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New Islington Medical Practice
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Downloadable Forms

Please find documents below to print and return to the surgery.

Please hand them directly to the reception team to upload to your medical records.

PHQ9 form (to assess severity of depression) (DOCX, 18KB)

HBPM (Home Blood Pressure Monitoring) (DOCX, 16KB)

Epworth Sleepiness Score (Sleep Apnoea)

IPSS (International prostate symptom score)

COVID 19 Surgery Information (PDF, 424KB)

Diary template to record your blood glucose measurements (PDF, 54KB)

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New Islington Medical Practice

Ancoats Primary Care Centre, Old Mill Street, Manchester, M4 6EE

  • 0161 272 5660
  • gmicb-mh.nimp@nhs.net
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