Request Repeat Oral Contraceptive

Request Repeat Combined Oral Contraceptive Pill

Please complete this form to request a repeat prescription of your combined (oestrogen and progesterone) oral contraceptive pill e.g. Rigevidon (same pill as Microgynon 30), Cilest, Marvelon
A doctor might need to speak to you prior to issuing the prescription
Information on how to take your combined contraceptive pill can be found here
Information on the different contraceptive methods available in the UK is available here
Information on having an implant or coil fitted or removed can be found here

Nominated Pharmacy

Nominate a pharmacy of your choice and this pharmacy will receive your prescription directly from your GP, via the Electronic Prescription Service (EPS). With EPS you will not have to visit your practice to pick up your paper prescription anymore. (Click here for more details)

I confirm that this is a repeat prescription request *

Yes

I confirm that I am aware of how to take my pill *

Yes

I confirm that I am aware of different contraceptive methods and opt to use the combined oral contraceptive pill *

Yes

I confirm that any medication prescribed for me is for my personal use only and that I have responded honestly and provided complete and accurate information *

Yes

Requesting A Repeat Combined Oral Contraceptive Prescription

Further Information