Mental Health Review (PHQ-9) Form

We are offering a new telephone or video consultation for Mental Health Review review. If you would like to use this service please complete the electronic form below.

What next: Your practice will review this information in the next 7 days and be in touch if further action is required.

Where to get urgent help for mental health: If you need urgent help as you are in mental health crisis, then there is always someone you can call. Please contact our reception during opening hours for urgent appointment with oncall doctor. If we are closed, please contact NHS 111, the mental health crisis line is available 24 hrs a day, 7 days a week by calling 0800 953 0110. If there is an emergency, please dial 999 or attend accident & emergency.

Further information is available:


Mental Health Review (PHQ-9)
Please use format day/month/year e.g. 12/05/1979

Your Mental Health Review

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

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.