NHS Health Check Request
Free NHS Health Checks available for adults in England aged 40-74 every 5 years without a pre-existing health condition. They involve seeing a nurse or healthcare assistant for measurement of blood pressure, height and weight. You will be able to discuss your lifestyle and get advice. You will also get blood tests for cholesterol, diabetes and kidney function.
Name
First Name
Last Name
Date of birth
-
Day
-
Month
Year
Date
Phone number
Preferred days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred times
Morning
Afternoon
Other requests (eg hearing / mobility / vision problems)
Submit
Should be Empty: