Contraceptive Pill - Repeat Prescription Request

This form is for the repeat prescription of the oral contraceptive pill.

We will process your request for a prescription in the next 2 working days. If you would like your prescription to be sent to a pharmacy, this will also need to be entered into the form, or inform the receptionist.

It is important to know what to do if you ever miss / forget to take one of your pills. NHS can talk you through what to do https://nhs.uk/search/?q=missed+pill+rules. If you are ever in doubt please speak to a GP or pharmacist for advice the same day.

Remember that the contraceptive pills do NOT protect against sexually transmitted infections (STIs), using condoms in addition to your pill will reduce your risk of catching an STI.  See https://www.nhs.uk/live-well/sexual-health/ for more information

There are other long acting methods of contraception available, if you would like to discuss please book to see the practice nurse or see https://www.nhs.uk/conditions/contraception/

1Contraceptive Pill - Repeat Prescription Request

2Questionnaire For Repeat Prescription Of The Oral Contraceptive Pill


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This information is not shared with any third party organisations.

This information is retained for up to 28 days.

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Your Neighbourhood Professionals. Just a Click Away! Dr A H Makhani Arts Educational School Charles Hazell K J Smith Solicitors Ltd
Blackpond Lane, Farnham Common , Buckinghamshire , SL2 3ER
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Your Neighbourhood Professionals. Just a Click Away! Dr A H Makhani Arts Educational School Charles Hazell K J Smith Solicitors Ltd
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