Contraceptive Pill Review Form

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.

Last Updated: 17/05/2022

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Contraceptive Pill Review


































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