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Contraceptive pill review

Contraceptive Pill Review

About You

In Metres
In KG

Contraception Pill Review

Smoking Status *
Do you regularly check your breasts? *

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

Are you aware of the Missed Pill Rules? *
Do you take any over the counter medication that we may not be aware of? *
Has there been any changes in your personal and/or family history in terms of blood clots to the legs (DVT) or lungs (PE) or stroke or breast cancer?
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

*