If you have been advised by the surgery to submit a contraceptive pill review please use this form.
You will need an up to date weight and blood pressure.
Information on various contraceptive can be found below:
It is advised where possible to consider long acting contraceptive options like the implant or coil. To find out more information or book your appointment for long acting contraception please click the link below:
Some medical conditions can mean hormonal contraception is not a safe option. Please answer the following questions below about your own health and family history.
It is important that you complete a cervical smear regularly.
under 25 up to 6 months before you turn 25
25 to 49 every 3 years
50 to 64 every 5 years
65 or older only if 1 of your last 3 tests was abnormal
Thank you for completing this form
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