MiniPill Review

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

The Minipill is also known as the progesterone only pill (POP) and types include Desogesterol, Cerelle, Cerazette and Noriday

Information regarding the benefits and risks of this pill can be found here

DD slash MM slash YYYY
eg Dr Turnbull / Dr Brooks

Please confirm that you have read and considered the above information about the Minipill*

Do you have a history of breast cancer, blood clots, stroke or heart attacks?*

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

Are you happy with your Minipill?*

This field is for validation purposes and should be left unchanged.