All Patients Please Read

09/12/24 - The practice is currently experiencing teething issues with our new digital IT system. This is causing our computers to be intermittently non-functional including faults with our printing facilities. As a result of these issues, consultations may take longer than expected causing appointments to be delayed on the day and increased waiting times, and there may be issues generating prescriptions and obtaining test results. NHS Lanarkshire IT department are aware of the issues we are experiencing and are working hard to resolve the issues. Please be mindful of these difficulties we are experiencing when contacting the practice and attending your appointment. Thank you for your understanding.

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Chapelhall Practice > Your Record > Electronic Reviews > Hormone Replacement Therapy Review Form

Hormone Replacement Therapy Review Form

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

You will need an up to date blood pressure reading before you complete the online details. This can be easily organised using a home monitoring machine or through local pharmacies and Gyms. Please record this before you complete the application.

General information

Alternatives to HRT

HRT
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

Combined Pill Review

Are you happy with your current HRT? *
e.g. 120/70
Do you smoke? *
Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness? *
Are you still in need of contraception? *
Are you suffering any menopausal symptoms? *
Have you had a hysterectomy? *
Do you have a coil in? *
Do you understand and have you read about all the risk and benefits of taking HRT? *
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.

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