The Combined Pill Review Form
The Combined Pill — e.g. Microgynon, Rigevidon, Ovranette, Yasmin
We can offer a telephone/video review rather than having patients attend the surgery unnecessarily. Below there are links to information
You will need an up to date blood pressure reading before you complete the online details. This can be easily organised using a home monitoring machine or through local pharmacies and Gyms. Please record this before you complete the application.
Different Contraceptive Choices
Combined pill
Review Questions
e.g. 120/70
Privacy Protection
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Learn more about our Privacy Policy and
Terms of Use.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.