Repeat HRT & Contraceptive Questionnaires

HRT Medication Review Form

 

HRT Medication Review Form  – Fill in form or scan QR code                                                                  

  • *This questionnaire applies only to patients already taking HRT who require repeat prescription/review. Please call the practice to speak with a clinician if you wish to discuss starting HRT*.
  • Unless you are contacted with any further review/repeat query, your prescription will be available from the pharmacy within 5 working days.  Blood pressure reading can be provided by home monitor or visiting a pharmacy that has a self check BP machine.

Contraception Pill Repeat or Review Prescription Request

Contraceptive Pill Questionnaire

This questionnaire  applies only to patients already taking the contraceptive pill who require repeat prescription/review . Please call the practice to speak with a clinician if you wish to discuss starting contraception. 

Unless you are contacted with any further review/repeat query, your prescription will be available from the pharmacy within 5 working days. Blood pressure reading can be provided by home monitor or visiting a pharmacy that has a self check BP machine.

Contraceptive Injection Review Questionnaire

Contraception Injection Questionnaire

This questionnaire  applies only to patients already taking the contraceptive injection who require repeat prescription/review . Please call the practice to speak with a clinician if you wish to discuss starting contraception. 

Unless you are contacted with any further review/repeat query, your prescription will be available from the pharmacy within 5 working days. Blood pressure reading can be provided by home monitor or visiting a pharmacy that has a self check BP machine.

Page last reviewed: 24 December 2025
Page created: 18 December 2024