Patients already taking the contraceptive pill may no longer be required to attend for a pill check appointment.

If you have been on the same contraceptive for 12 months or longer and are over the age of 16 we use a questionnaire for you to order your contraceptive pill repeat prescriptions.

You can download the questionnaire below or collect one from the front desk.

Please return the completed form to reception where you can check also your BP and Weight free of charge on the machine in the waiting room at both Cottam Lane and Geoffrey Street Surgery. Please attach the printed reading slip from the machine to your form before handing it in.

Please ensure all your contact details are completed in full. Should there be any issues/queries with you request the practice will contact you with the details provided.

If you have any questions regarding the questionnaire please contact the prescription line on 01772 529000, option 3 between 8:30 – 12noon Monday – Friday.

Questionnaire Download:

Word document: Contraceptive Pill Checklist 2020

PDF:Contraceptive Pill Checklist 2020