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Patient Review Forms (HRT and Contraception)

If a review of your Hormone Replacement Treatment or Contraception is due you can complete one of our patient review forms to make this a more efficient process. You may not need to make an additional appointment if you are happy with your treatment and feeling well. Please print and complete the appropriate form and return it to the surgery. We will contact you to arrange an appointment if there are any concerns after reviewing your form.

A blood pressure check is an important part of our annual safety review of these medications. We have an automatic blood pressure machine at The Park Surgery in our health education room for patient use. Alternatively, you can submit a home blood pressure monitor reading (if you have one) or obtain a blood pressure check at many pharmacies.

HRT PATIENT REVIEW FORM

COMBINED ORAL CONTRACEPTIVE PILL PATIENT REVIEW FORM

PROGESTERONE ONLY PILL (MINI-PILL) PATIENT REVIEW FORM



 
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