This form is for the repeat prescription of the oral contraceptive pill.
We will process your request for a prescription in the next 5 working days. If you would like your prescription to be sent to a pharmacy, this will also need to be entered into the form, or inform the receptionist.
What to do if you miss or forget to take one of your pills
- It is important to know what to do if you ever miss / forget to take one of your pills.
- Visit the NHS website which has advice about what to do.
- If you are ever in doubt please speak to a GP or pharmacist for advice the same day.
Remember that the contraceptive pills do NOT protect against sexually transmitted infections (STIs), using condoms in addition to your pill will reduce your risk of catching an STI. More information about protecting against STIs
There are other long acting methods of contraception available, if you would like to discuss these, please book to see the practice nurse or visit the NHS website for more information
You will need to provide your weight, height and blood pressure reading to fill in this form - if you do not have access to a blood pressure monitor you are able to use the machine in the practice waiting room.
We will only use this information to process the medication request - after it is processed the data will be discarded.
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