Contraceptive Pill Review

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Personal Details

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

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Contraception Pill Review

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

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

Please book an appointment to see the practice nurse

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

 
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