Starting on the Contraceptive Pill Questionnaire

Starting on the Contraceptive Pill Questionnaire

This form is for individuals wishing to start on the contraceptive pill and to gather information before an appointment with the clinician. We are unable to issue a prescription without up to date blood pressure and weight measurments. 

Starting on the Contraceptive Pill Questionnaire

This form is for individuals wishing to start on the contraceptive pill and to gather information before an appointment with the clinician. We are unable to issue a prescription without up to date blood pressure and weight measurments. 




























This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Page last reviewed: 22 April 2022
Page created: 06 August 2021