Total Triage System

Since Wednesday 10 January 2024, we are operating a total triage system, where every request for a GP appointment is triaged by our GP team. To request a doctors appointment we are asking all our patients to use an online form where possible. If you find it difficult to use a computer or a smartphone, you can telephone our reception on 020 8669 6186 or attend in person and our receptionists will fill out the form on your behalf. Our reception staff are not able to book an appointment with a GP directly.

Wallington Family Practice > Services > Forms > Health Review Forms > The Mini Pill Review Form

The Mini Pill Review Form

The Mini Pill — e.g. Desogestrel, Cerelle, Cerazette

We can offer a telephone/video review  rather than having patients attend the surgery unnecessarily.  Below there are links to information

Different Contraceptive Choices

The mini pill ( progesterone only pill )

Mini Pill
Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979

Your Height and Weight

Weight

Unit of measurement *
cm
kg
ft
in
lbs

BMI

Underweight
Healthy
Overweight
Obese

Mini Pill Review

Are you happy with your current Pill ? *
Do you smoke? *
Do you understand and the risk and benefits of your current contraceptive? *
Have you considered the coil or implant? *
One of our clinicians will contact you on this number in the next couple of weeks.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.