Mini-Pill/Progesterone-only Contraceptive Pill Review

If you have been advised by the surgery to submit a Mini-Pill/Progesterone-only Contraceptive Pill Review please use this form.

Use this form ONLY if you are taking Cerelle (desogestrel), Noriday or Norgeston.

Should you have been asked to submit a Combined Contraceptive Pill/Patch Review please visit this page.

Mini-Pill/Progesterone-only Contraceptive Pill Review

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

Are you experiencing any irregular bleeding?

Please book an appointment to see the practice nurse

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