Cardiovascular health questionnaire
This form has been CE Marked. Visit for more info.

Please complete this form if you are at increased risk of heart or blood vessel conditions (including if you have high blood pressure or heart failure or have had a heart attack or stroke) and your practice has asked you to send in details for your annual check

This service is for non-emergency queries only.
For emergencies or urgent help please click here

Before you start

  • Your practice will aim to respond to your query within 2 working days.
  • If you do not submit your query, no details will be sent to your practice.
  • You must be over 16 to use this service, although you may use this service to contact the practice about a person you care for who is under 16.
  • You must be currently registered as a patient with Willington Surgery.
  • You must be currently in the UK.