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Dedridge Medical Group > Your Record > Electronic Reviews > The Combined Pill Review Form

The Combined Pill Review Form

The Combined Pill — e.g. Microgynon, Rigevidon, Ovranette, Yasmin

Please complete this form if you have been asked to do so as part of your annual review.  Below there are links to further information including new flexible regimes.

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 there is a self check station in our waiting area where you may check your blood pressure. No appointment is needed.

Different Contraceptive Choices

Combined pill including new ways to take it

Flexible Pill regimes

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

Combined Pill Review

Are you happy with your current Pill ? *
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? *
Do you understand and the risk and benefits of your current contraceptive? *
Have you read about or do you already take the pill continuously? *
Have you considered the coil or implant? *
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.

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