We’ve received your form safely.
A nurse will review your form and – if safe to do so – will re-prescribe your contraception. We’ll send you a text to let you know. Your prescription will then be available for collection at your nominated pharmacy (please allow around 7 working days after submitting this form) or from Reception (please allow 5 working days after submitting the form).
If after reviewing your form we need to have a further discussion with you before re-prescribing your contraception, we’ll text you to ask you to book an appointment with one of our specialist nurses.
If we don’t have your mobile number (or your mobile number has recently changed) please fill in our change of contact details form.
You’ll need to fill in this form again each time you’d like us to re-prescribe your contraception, usually every 12 months.
Thank you,
Riverside