Contraceptive Repeat Request Form
You may request a repeat prescription of the pill, patch, ring or the sayana press self-administered contraceptive injection if:
- This has been prescribed by our practice previously and/or you have been reviewed by a GP/Nurse/Physician’s associate here about this method within the last 2 years, and
- You do not have any reasons why we should not continue to prescribe this method of contraception.
If you are experiencing any issues with your current contraception method, have any concerns or would like to consider an alternative form of contraception such as the coil, implant or depot injection, please book an appointment with one of our clinicians or click here to visit our contraception page.
For further information about the pill please click on the links below, if you still have any questions please book an appointment with one of our clinicians to discuss further.
Privacy Consent
This form collects personal and medical informanot tion about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.
Page you are trying to access does not exist.