Contraceptive Review

For women 18 years and older, who are currently taking a contraceptive pill, prescribed by Shepperton Medical Practice who are happy with their current contraception and wish to continue taking it.

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 annual repeat prescription request.

If you are having any problems with your medication or would like to consider alternative contraception options, please speak to Nurse Lynn, or your GP, who will be able to offer advice.

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.
Please make sure you have had your blood pressure and weight taken within the last 4 weeks. You can have this done at the pharmacy if you do not have the facilitates at home to do this.

Contraceptive Review

You can find out more information on the FPA or BMG websites.
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