Contraceptive Pill Review

If you have been advised by the surgery to submit a contraceptive pill review please use this form.

Please be aware that any replies from the surgery may appear in your junk or spam inbox.

Contraceptive Pill Review

Contraceptive Pill Review

Section

If you are using a UK mobile number, please use the format 07xxxxxxxxx

Contraception Pill Review

e.g. 1.75
e.g. 60.6
Would like to be referred for help with weight loss?
Do you regularly check your breasts?

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

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

Blood Pressure

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Sexual Health Screening

We would like to invite you to attend a Sexual Health Screening, just a quick discreet 15 minutes appointment. The screening we provide is for Chlamydia, Syphilis, Gonorrhoea and HIV. By participating to screening, you will be giving us consent to refer you to the ICash Sexual Health Clinic in Norwich if you receive a positive result for Syphilis, rectal Chlamydia, Gonorrhoea or HIV, for appropriate treatment and follow up. Other positive Chlamydia will be treated at the surgery which will include contact tracing. You can choose to receive your results by either text message or letter.

Would you like to attend a Sexual Health Screening?
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