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Your prescription will be sent to your chosen nominated pharmacy. If you have not chosen a nominated pharmacy please complete a 'nominate a pharmacy' form via our online forms page before proceeding with this form.
PLEASE NOTE: To process this form the practice will require an up-to-date blood pressure reading within the last 6 months. Please DO NOT continue with this form if you do not have an up-to-date BP.
In order to provide the contraceptive pill safely we need to ask you a number of questions. We would be grateful if you could complete this form when you submit your next repeat prescription request. If you are having any problems with your medication or would like to consider an alternative contraception option, please speak to one of our Practice Nurses/Pharmacist who will be able to advise you or refer you to the appropriate service.
DID YOU KNOW:
There are several local pharmacies which are also able to provide initiation and continuation of contraception including:
High Street Pharmacy Available on a Monday
Anuerin Evans PharmacyAvailable on a Wednesday and Thursday
Brockway Pharmacy Available Monday to Friday
Last Updated: 02/10/2023
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