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Contraceptive pill review (no break)

Use this service to submit a routine review of your contraceptive pill.

You can use this service if you:

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

Before you start

Information:

Is this the right review form for you?
There are separate forms for contraceptive pill everyday without a break or contraception pill with a 7-day break.
Please ensure that you complete the correct form.

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.