Online Pill Check




If you take any of the oral contraceptive pills you will need an annual review (‘pill check’) at least every twelve months before we can re-authorise your prescription.

You may be due a review sooner if you have recently started or changed your pill.

This form will allow you to complete the pill check online. We have set up the online pill check with the aim of making it quicker and easier for you to renew your prescription if your pill is suiting you and you wish to continue it. If you are having any problems or concerns, or would like to discuss some of the newer ways of taking the combined pill, or discuss other forms of contraception, we would be more than happy to hear from you. Please book an appointment with your named GP or the practice nurse if you would like to discuss anything further.

To fill in this form you will need your current height, weight and blood pressure. If you do not have the equipment to measure these at home you are welcome to drop into the practice to do so (no appointment needed).

The pill check will be sent to the practice team and your request will usually be processed within 4 business days. If there are any issues we will contact you to discuss further. If there are no issues we will not contact you, and you may collect your pill from your nominated pharmacy.

If you need help navigating the form, please call the practice.

This form was last reviewed in January 2023.

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Your Details
Please double check you've entered the correct email address
We may use this to identify you.
It is important we check your blood pressure and weight while you are taking the pill.
Please take these measurements at the practice Reception or at home.
Please enter your blood pressure in the XX/XX format.
Your Pill Check
If you have received this invitation, or if you believe you are due a smear after reading the above information, please do book a smear test appointment with our nurse.

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.


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