Antidepressant Medication Review Form

Antidepressant Medication Review Form

If you have been asked to submit an Antidepressant Medication Review, please use this form. It is designed for patients who are already taking one of these medicines regularly, but who have not been formally reviewed for some time. 

The pupose of the review is to establish whether:

1. you are stable and happy on your medication, in which case your medication will be re-authorised and issued.

OR

2. formal review with a GP or Mental Health Nurse is required, in which case you will be contacted by Reception to arrange an appointment.

 

DO NOT SUBMIT THIS FORM IF YOU HAVE NOT BEEN ASKED TO DO SO.  Unsolicited forms sent to the Practice will not be processed and will be deleted automatically.

  • Your Details

    Date of Birth
    For example, 15 3 1984

  • About Your Medication

    Please answer all of the following questions as clearly as possible

    4. Do you think your antidepressant medication is improving your overall mental health?
    5. Do you want to continue taking your antidepressant medication for the time being, and remain on the same dose? If you answer 'YES' to this question, we will re-authorise your prescription for another 12 months, and you will be reviewed again at the end of that period.
    7. 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
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Page last reviewed: 27 February 2026
Page created: 27 February 2026