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Contraceptive pill review

Contraceptive Pill Review

About You

Are you able to provide your height? *

Please book a Patient Pod appointment by contacting the practice so that we can capture this information.

In Metres
Are you able to provide your weight? *

Please book a Patient Pod appointment by contacting the practice so that we can capture this information.

In KG
Are you able to provide a blood pressure reading? *

Please book a Patient Pod appointment by contacting the practice so that we can capture this information.

Blood Pressure

Please use date format: DD/MM/YYYY

Alcohol Consumption

This is one unit of alcohol:

Amount of different types of drink representing one unit of alcohol

And each one of these, is more than one unit:

Amount of different types of drink representing more than one unit of alcoholAmount of different types of drink representing more than one unit of alcohol
How often do you have a drink containing alcohol? *
How many units of alcohol do you drink on a typical day when you are drinking? *
How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? *

Smoking

Smoking status: *
Would you like help to give up smoking?

Contraception Pill Review

Do you regularly check your breasts?

Please ask reception for our information regarding the importance of regular breast self-examination.

Do you suffer from severe headaches or migraines?

Please make an appointment to see your doctor to discuss your headaches if you have not already done so.

Are you experiencing any irregular bleeding?

Please book an appointment to see the practice nurse