Use this service to submit a review of your contraceptive implant.
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
You can also phone us on 01953 602220.
