Contraceptive pill review (break)

Use this service to submit a routine review of your contraceptive pill with a 7 day break.

You can use this service if you:

• are registered at the surgery
• have been invited to do so

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on 01264 361424.