Please complete the form below to renew your contraceptive pill prescription. If you are having any problems with your pill or wish to discuss anything with a nurse or a doctor please make an appointment.

If we need any further information or need to discuss any of your answers with you we will contact you before issuing your prescription, otherwise we will issue your prescription within 3 working days of receiving this form.

Thank you for completing this form to renew your contraceptive pill prescription. If you are having any problems with your pill or wish to discuss anything with a nurse or doctor please make an appointment. If we need more information or need to discuss any of your answers with you we will contact you before issuing your prescription. Otherwise, we will issue your prescription within 3 working days of receiving this form

Pill information

Please look at these links for further information about your pill.
If you have any questions including about how to take the pill, missed pill rules, side effects or risks please ask to speak to a GP.
Emergency contraception is available from the practice and pharmacies.
Paper copies of these leaflets are available from reception

Combined oral contraceptive pill (COCP)
Includes pills called Rigevidon, Microgynon, Loestrin, Cilest, Dianette, Yasmin, Mercilon
https://www.sexwise.fpa.org.uk/contraception/combined-pill-coc

Progesterone only pill (POP)
Includes pills called Cerelle, Cerazette, Noriday
https://www.sexwise.fpa.org.uk/contraception/progestogen-only-pill-pop