Pre-booking Screening: GP Consultation

Do you have any shortness of breath?

Yes

No

If you select "Yes" to above question, Telehealth is NOT appropriate for you.

Do you have any severe abdominal pain?

Yes

No

If you select "Yes" to above question, Telehealth is NOT appropriate for you.

Do you have chest pain?

Yes

No

If you select "Yes" to above question, Telehealth is NOT appropriate for you.

"I do not have any of the above symptoms"

Yes

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Last name

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GP Consultation
Pre-booking Screening