For those wanting to start a new contraceptive

For those wanting a repeat of their contraception

For patients requesting a new contraception or those on the combined pill/patch/ring – you must complete the following before we can offer a prescription

For those who are wanting a prescription of a combined pill ( Microgynon/Rigevidon/Levest/Ovranette, Cilest/Zeletta, , Mercilon/Gedarel 20, Marvelon/Gedarel 30, Femodene/Katya/Millinette, Yasmin/Lucette/Yiznell, Evra patch, Nuvaring) You must enter a Blood pressure reading – we will not be able to process this form and book an appointment without one