Long COVID form NWL

You've been sent this form because you have had a diagnosis of COVID recorded in the past. We are contacting all patients who have had COVID to see how they are getting on. Please fill in the questions below, which may or may not lead to further questions.

Do you have any ongoing symptoms of COVID?
Do you want any help with your symptoms?

National COVID links

Local COVID links

Page last reviewed: 12 July 2021