Contraceptive Appointment Form
Use this form to register your interest in our Contraceptive Clinic. You must be a patient to utilise this service. Once your form is completed our team will contact you to schedule an appointment.
Please note that this form should NOT be used by:
- Patients requesting the contraceptive pill for the first time, as you will need a doctor’s appointment before this can prescribed.
- Patients that have recently registered with the surgery but are yet to have a prescription from us for the contraceptive pill. New patients will need to have a medication review appointment before this can be safely prescribed.
Please also note that we do not offer the ‘morning after’ pill, e.g. Levonelle or ellaOne.