Contraceptive Pill Review

If you have been advised by the surgery to submit a contraceptive pill review please use this form.

Patients can check their blood pressure at the Surgery Pod or at he pharmacy.

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Contraceptive Pill Review

Contraceptive Pill Review

About you

First Name(s) as appears on your passport.

Last Name(s) as appears on your passport.

The one used to register with your GP.

Your date of birth is required to verify your identity.

As on your medical record.

The practice may use this number to contact you about your request.

This email address can be used to contact you about your request. Please be aware that if you have given anyone else access to your email account they may see responses sent to you.

Please continue completing the form below

Contraception Pill Review

Do you regularly check your breasts?

Please ask reception for our information regarding the importance of regular breast self-examination.

Do you suffer from severe headaches or migraines?

Please make an appointment to see your doctor to discuss your headaches if you have not already done so.

Are you experiencing any irregular bleeding?

Please book an appointment to see the practice nurse

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