Western Road Medical Centre

Western Road Medical Centre

99 Western Road, Romford, Havering, RM1 3LS

Current time is 18:13 - Sorry, we're closed

NHS

Telephone: 01708 775300

havccg.westernroad@nhs.net

Request you repeat contraceptive pill

Please complete the form below to request a repeat prescription of your oral contraceptive pill. Please ensure you click ‘submit’ at the bottom of the page when you finish.

Please do not use this form if you are requesting to start or change your contraceptive  or you are experiencing any side-effects or problems with contraception. Please book an appointment with a doctor.

You will need a recent (within last one month) blood pressure, height and weight. These can be done at many pharmacies if you cannot do them at home.

Please ensure you are up-to-date with your cervical smears.

Information on the different contraceptive methods available in the UK is available at www.sexwise.fpa.org.uk

Effective long-acting contraceptive methods such as the contraceptive implant and coils are available. Please book a telephone appointment with Dr Dhairyawan or Dr Heerah to discuss this further.

There is a section on the form which allows you to raise any personal concerns that you may have, such as mental health, social concerns, or domestic violence. Please have confidence in raising any concerns as we may be able to help.

Please allow FIVE WORKING DAYS for your request to be processed, you may be contacted by telephone or email, or asked to attend the surgery if we require further information.

 

Pill Check

Pill Check Questionnaire
  • Date Format: MM slash DD slash YYYY
  • Please enter a number from 60 to 250.
  • Please enter a number from 30 to 150.
  • Migraine headaches, Bloods clots in legs (DVT) or lungs (PE), First degree relative (parent, sibling or child) had blood clots in legs or lungs, Breast cancer or undiagnosed breast symptoms, First degree relatives with breast cancer or undiagnosed breast symptoms, Heart problems or Stroke/TIA, Liver disease
  • If not please visit the NHS website https://www.nhs.uk/common-health-questions/womens-health/how-should-i-check-my-breasts/ for information on how to examine your breasts .
  • Any information you provide will be treated with confidence (except in rare circumstances where the sharing of such information may be critical to prevent an adult or child coming to serious harm)
  • This field is for validation purposes and should be left unchanged.

 

Opening Times

  • Monday
    08:00 until 18:30
    Extended hours appointments (pre-booked only) 18:30-19:00
  • Tuesday
    08:00 until 18:30
    Extended hours appointments (pre-booked only) 18:30-19:00
  • Wednesday
    08:00 until 18:30
    Extended hours appointments (pre-booked only) 18:30-19:00
  • Thursday
    08:00 until 18:30
    Extended hours appointments (pre-booked only) 18:30-19:00
  • Friday
    08:00 until 18:30
    Extended hours appointments (pre-booked only) 18:30-19:00
  • Saturday
    CLOSED
  • Sunday
    CLOSED