Intrauterine contraceptive device review

Use this service to submit a review of your Intrauterine contraceptive device.

Please be aware that once this form has been submitted, it will be held within your health record.

You can use this service if you:

• are registered at the surgery
• have been invited by the surgery to do so

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on 01953 602220.