If you have been advised by the surgery to submit a contraception review, please use this form.
Please be aware that once this form has been submitted, it will be held within your health record.
- Are you under 16?
- Do you wish to change your pill?
- Are you having problems with your pill?
- Is this the first time you’ll be taking ‘the pill’?
- Are you a new patient at Wymondham Medical Centre (ie. never had the pill prescribed here before)?
If you answer yes to any of the questions above, please do not use this form and instead use the Request an appointment with a Nurse or Healthcare Assistant form.