Use this service to submit a routine review of your smoking.
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 Cinderford Surgery 01594 820820 or Ruardean Surgery 01594 820820 or Westbury Surgery 01594 820820.