Combined Pill Review

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Please read and complete this form to continue your prescription for the Combined Pill.

This pill type includes Rigevidon, Levest, Gedarel, Microgynon, Yasmin, Loestrin and many more!

Information regarding the benefits and risks of this pill can be found here NHS.UK COCP

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Please confirm that you have read and considered the above information about this type of pill*

Have you had breast cancer, a stroke or a heart attack?*

Have you ever had a blood clot or a migraine with aura?*

Do you smoke?*

Have you considered long acting contraception such as the coil, implant or injection?*

Are you happy with your pill?*

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