Tell us whether you accept cookies

We've put some small files called cookies on your device to make our site work. We would also like to use analytical cookies to understand how our site is used and improve user experience. Analytical cookies send information to Google Analytics.

Let us know your preference. We will use a cookie to save your choice. Before you make your choice you can read more about our cookie policy.

Mann Cottage NHS GP Surgery in Moreton-in-Marsh

DRUM

Dispensing Review Use of Medications (DRUM) Form

Section

Do you understand why you have been prescribed your medication and what it is for? *

Yes

Any comments:

Do you take your medication the correct way as stated on the label? *

Yes

Any comments:

Are any of the medications you are currently prescribed causing you any problems? *

Yes

Any comments:

Do you have any difficulties that affect how you take your medication? E.g. Problem swallowing, removing from container, inhalers etc *

Yes

Any comments:

Is there any medication on your repeat list that you are no longer taking and can be removed? *

Yes

Any comments:

Do you have any medication at home that you are no longer taking? *

Yes

Any comments:

Do you have more than 4 weeks supply at home? *

Yes

Any comments:

Is further action/help required with any of the above? *

Yes

Any comments:

If you are human, leave this field blank.

Four Shires Medical Centre
Stow Road
Moreton-in-Marsh
Gloucestershire
GL56 0DS

Get directions

01608 650764

Feedback and complaints

Wellbeing

Accessibility statement

Website policies