**Coronavirus update (COVID-19)**
If you have concerns that you may have been exposed to or become infected with COVID-19, please access NHS 111 online for guidance. DO NOT attend your GP practice or hospital emergency department. Further information is also available here. gtd healthcare's COVID-19 privacy notice for patients is available here. COVID-19 information is also available in British Sign Language.
If you have been advised by the practice to submit a smoking review on a regular basis, please complete this form.
Please provide the following information in relation to smoking (please tick all that apply):