Children’s Physio Drop In

If your child is < 12 years old and you have concerns about their development, mobility or joints, please find info here about drop in clinics at St John’s Hospital.

Hormone Replacement Therapy Review Form

Please complete this form as part of your HRT review if you have been asked to do so.  Below you will also find links to further information.

You will need an up to date blood pressure reading before you complete the online details. If you do not have access to a home BP machine you can measure your blood pressure at our self check station in the waiting area. No appointment is required for this.

General information about HRT

Alternatives to HRT

HRT and breast cancer – MHRA information leaflet


HRT
Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979

HRT Review

Are you happy with your current HRT? *
e.g. 120/70
e.g. 65 kg
We need this to calculate your BMI
Do you smoke? *
Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness? *
Are you still in need of contraception? *
Are you suffering any menopausal symptoms? *
Have you had a hysterectomy? *
Are you having any unscheduled bleeding?
Do you have a coil in? *
Do you understand and have you read about all the risk and benefits of taking HRT? *
One of our clinicians will contact you on this number in the next couple of weeks.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.