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Health Questionnaires

All of the health questionnaires can be found here.

The questionnaires are in Microsoft Word format and can be typed into, or printed out and filled in by hand.

Some of the health assessments require you to send your completed health questionnaire in advance of your appointment.  Therefore, please read the instructions carefully.  Forms can be sent via email or printed and posted to Pulse Health Screening.
Face-to-Face Consultations (Bedford Area)

Cardiovascular Health   Download

Well Woman Screen   Download

Well Man Screen  Download

Breast Health Check  Download

Female Pre-Conception Health Check  Download

Male Pre-Conception Health Check  Download


A Food Diary is also recommended with some health assessments.  You can download a food diary by clicking on the Adobe PDF logo, opposite.
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