Hormone Replacement Therapy Medication Form

Thank you for requesting a repeat prescription for your hormone replacement therapy. If you can complete the questionnaire below we can save you from having to attend the surgery for a HRT review.

To complete the form we will need a recent weight and blood pressure reading. Blood pressure machines can be bought cheaply online from about £10 or a relative or friend might have one. They are always a good investment for anyone. However, if you prefer to come in and see the nurse for your weight and blood pressure, we continue to offer this service