HRT Review Form 1

This form is only for patients who have already been prescribed HRT for menopause symptoms, are happy with it and would like to re-order it.

You'll need a recent blood pressure reading to complete this form. You can use your own BP machine if you wish.

A clinician will review your form and, if safe to do so, will re-prescribe your HRT medication for up to 12 months. Your HRT will then be available for collection in a few days at your nominated pharmacy.  

If after reviewing your form we need to have a further discussion with you before re-prescribing your HRT, we'll text you to ask you to book a GP appointment.

This form collects your 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.

Please read our Privacy Policy to discover how we protect and manage your submitted data.

NHS Inform - HRT

Benefits and Risks of HRT

We may text you after reviewing your HRT form and will use the mobile number on your patient record.

If we don't have a mobile number for you (or you've recently changed mobile number) please fill in our change of contact details form.