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 / Contraceptive Patch Repeat or Review Prescription Request
Contraception Review Questionnaire
This questionnaire applies only to patients already taking the Contraceptive Pill /Contraceptive Patch 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 created: 18 December 2024