Annual Contraceptive Pill Review
For patients to complete, if this form is not completed accurately and in full, it will delay your prescription.
For patients who are currently taking a contraceptive pill, prescribed by Upwell Health Centre, who are happy with their current contraception and wish to continue taking it.
In order to provide the contraceptive pill safely, we need to ask you several questions. A blood pressure reading, weight and height taken within the last 4 weeks is also needed, this can be done with home devices or by using our health pod in the surgery waiting room.
If you are having any problems with your pill or would like to consider alternative contraception options, please contact the practice to arrange a telephone consultation with a clinician.