Contraceptive Pill Review

This form is to be completed if taking any of the following medications only.

If your pill is not listed, please book with the practice nurses for review ):

  • Desogestrel
  • Cerelle
  • Levonorgestrel
  • Norethisterone
  • Aizea
  • Cerazette
  • Desomono
  • Desorex
  • Feanolla
  • Moonia
  • Norgeston
  • Noriday
  • Zelleta
Contraceptive Pill Review

Contraceptive Pill Review

About You

Please use this date format: DD/MM/YYYY.

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

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