If you have been advised by the surgery to submit a contraceptive review questionnaire, please use this form if you take an oral contraceptive.

This questionnaire applies only to patients already taking the contraceptive pill who require a review/repeat prescription. If you are looking to start contraception please contact the practice to arrange an appointment to discuss this with a clinician. 

If you have been advised by the surgery to submit a contraceptive review questionnaire, please use this form if you use a contraceptive injection.

This questionnaire applies only to patients already taking the contraceptive injection who require a review/repeat prescription. If you are looking to start contraception please contact the practice to arrange an appointment to discuss this with a clinician.