Contraceptive Pill Review Questionnaire

The practice is obliged to review your pill every 12 months in order to continue prescribing it for you.

We are piloting a template that you can fill in and leave back to reception or return via Email so that we can continue to prescribe your pill without needing a face to face appointment.

If you would prefer to see a nurse or doctor then please book an appointment.

Otherwise please click here to download the questionnaire.

The completed template will be dealt with confidentially by a doctor, nurse or pharmacist and recorded in your notes. Within one week of returning the template you will be issued a script for 6 months supply of your pill or asked to come in and see a doctor/nurse.


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