Patient Health Questionnaire (PHQ-9)

If you have been advised by the surgery to submit a mental health review (PHQ-9) please use this form.

This form should not be used to access urgent help and may take up to 5 working days to be processed. If you require urgent help regarding your mental health, please visit ‘I need help now’ or speak to one of our medical receptionists by calling

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Mental Health Review

Mental Health Review

About You

Please use this date format: DD/MM/YYYY.
Please let us know your preferred contact number in case we need to contact you.

Mental Health Review

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Sending