Request for Contraceptive Pill Review & Prescription

Please complete the following form with your mobile number.

Our reception team will then send you a text message (within a working day) with a link to an online Pill Review Questionnaire.

YOU WILL NEED A RECENT BLOOD PRESSURE READING AND YOUR WEIGHT to complete the online questionnaire.

Once you have submitted the questionnaire a member of our nursing team will contact you within 5 working days either with a message stating that your prescription has been sent to your nominated pharmacy or they will contact you via your mobile if they wish to speak with you before issuing your prescription.

Last Updated: 03/10/2024

Contact Details

Please note that once you submit this request form you will be sent a text message with a link to a Pill Review Questionnaire.

IF YOUR MOBILE PHONE DOES NOT HAVE ACCESS TO THE INTERNET YOU WILL NOT BE ABLE TO USE THIS SERVICE. PLEASE THEN RETURN TO THE PRESCRIPTION PAGE ON OUR WEBSITE AND COMPLETE THE ALTERNATIVE FORM.

Thank you

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Request for Contraceptive Pill Review & Prescription

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