Contraceptive Pill Review

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

If you have not had your BP and weight checked in the last year then you will need to book in with our Nurse or see the family planning clinic.

You may wish to consider a long-acting reversible (non-permanent) form of contraception.

For more information, please read Your Guide to Long-acting Reversible Contraception (LARC)

Contraceptive Pill Review

Contraceptive Pill Review

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

Contraception Pill Review

Are you currently on the contraceptive pill?
If you are not please make an appointment with our nurse or sexual health clinic
Do you currently Smoke?
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.

Have you or anyone in your family had an clots in the legs (DVT) or the lungs (embolus)?
Are you experiencing any irregular bleeding?

Please book an appointment to see the practice nurse

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