Contraceptive Pill Review

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

Contraceptive Pill Review

Contraceptive Pill Review

About You

Please use this date format: DD/MM/YYYY.
If known, please use metric.
If known, please use metric.

Contraception Pill Review

Please book an appointment to see the practice nurse

Blood Pressure

We need a blood pressure from you every year. Please enter it here if you have a BP machine at home. If not, please use the BP machine in our waiting room and enter it here, or hand the results to the patient advisor team.
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