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An asthma review is a yearly appointment with your GP or asthma nurse. If you’re free of symptoms, your review helps you stay that way.

Completing this form helps us decide whether you need to come in for an asthma review or not.

Please take a moment to look at www.asthma.org.uk for advice on managing your asthma.

Fields marked with a red asterisk are compulsory. *

Patient's Details
How well is your Asthma controlled?
Taking your inhalers
Further information
Smoking status
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City View Medical Practice
Beeston Hill Community Health Centre
123 Cemetery Road
Beeston 
Leeds  
LS11 8LH (for satnav use LS11 8BS)
Tel 0113 467 7515

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Shafton Lane Surgery 
20A Shafton Lane
Holbeck
Leeds 
LS11 9RE
Tel 0113 467 7515

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Opening hours
Monday-Friday 8.00am - 6.30pm