Example Cerelle, Cerazette, desogestrel and Noriday

Mini Pill
Complete the eReview below for a repeat of your mini progesterone only pill. You will not need to attend the surgery. Please research mini progesterone only pill before advancing with this eReview.
Enter Email
Please use format day/month/year e.g. 12/05/1979

Mini Pill Review

Are you happy with your current Pill ? *
We need this to calculate your BMI
Do you smoke? *
Do you understand and the risk and benefits of your current contraceptive? *
Have you considered the coil or implant? *
One of our clinicians will contact you on this number in the next couple of weeks.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.