Contraceptive Pill
Complete the eReview below for a repeat of your contraceptive. You will not need to attend the surgery.

Record a blood pressure using a home blood pressure machine. If you do not have an accurate BP reading you will need to attend the GP Practice before a prescription can be issued.

There is new advice like taking the pill continuously etc. Please research this before advancing with the eReview.

Enter Email
Please use format day/month/year e.g. 12/05/1979

Your Height and Weight

Weight

Unit of measurement *
cm
kg
ft
in
lbs

BMI

Underweight
Healthy
Overweight
Obese

Contraceptive Review

Are you happy with your current contraceptive? *
Do you smoke? *
Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness? *
Do you understand and the risk and benefits of your current contraceptive? *
Have you read about or do you already take the pill continuously? *
Would you like to consider the coil or implant? *
One of our clinicians will contact you on this number in the next couple of weeks.
How would you like to collect your prescription?

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.