Breathlessness Review

If you have been advised by the surgery to submit breathlessness reviews on a regular basis, please use this form.

Please note – if you submit this request after 4pm on a working day, it will be opened when we re-open on the next working day. The practice is closed over the weekend.

Breathlessness Review

Breathlessness Review

Breathlessness Review

Please rate your level of breathlessness: *

It has been found to be beneficial for patients with breathlessness to undertake Pulmonary Rehabilitation programmes. You may already have done so. It consists of education about the disease and assistance with exercise.

Please select an option relating to the Pulmonary Rehabilitation programme:

BMI

eg. 1.75
eg. 60.6

For more information, please visit NHS: Healthy Weight.

*