Our Ref/[EmisNo]
Your NHS Number [NHSNo]

[PatientName]

[AddressLine]

[DateToday]

Dear [Salutation],

ANNUAL REVIEW

This is an automated email. You are due a review of your condition/s. In light of the current environment and possible after this, we are looking to manage your condition via other methods rather than just seeing you face to face although there will be some cases when we need to see you.. Please take the time to read it's content and email us the replies back on myemail@nhs.net or fill in this letter if you need to and hand it back to us before your review which we will contact you for.

According to our records you have a history of [ConditionsinOneLine]

What is your current email and mobile to contact details?__________________

Do you smoke and if so how much?__________________________

If you stopped how long did you smoke for?________________________

How long did or have you smoked for?_______________

Let us know how much alcohol you drink_______________

Please let us know your last weight________________

[Text]

Blood Test required? : [Blood]

Urine required? : [Urine]

[FastingText]

So what happens next?

Fill in what you can from the above email us your replies by replying to this email. Once we get these we will contact you to arrange an appointment. If we can manage your condition over email we will try this way but you always have the option to talk to us instead.

YOU NEED TO FILL THIS PRE-APPOINTMENT FORM IN FIRST BEFORE WE CONTACT YOU FOR A REVIEW

Yours sincerely, The Surgery