Contraception Review

If you have been advised by the surgery to submit a contraception review please use this form.

Contraception Review

Contraception Review

Section

Contraception Review

In Metres
In KG
Do you regularly check your breasts?

Please ask reception for our information regarding the importance of regular breast self-examination.

Do you suffer from severe headaches or migraines?

Please make an appointment to see your doctor to discuss your headaches if you have not already done so.

Are you experiencing any irregular bleeding?

Please book an appointment to see the practice nurse

Smoking status:
Do you vape or use an e-cigarette?
Is there any family history of a clot in the leg or lung?
Are you happy on your current pill?

Blood Pressure

*