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 Irlam Medical Centre 0161 776 0737 or Longfield Lodge Surgery 0161 776 0737.
