Medication
Review Form

HRT (Hormone Replacement Therapy)

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HRT (Hormone Replacement Therapy)
Review Form

Required fields are marked with an asterisk (*).

We have reviewed our prescribing and monitoring of hormone replacement therapy. (HRT).

All patients who are on HRT need to have a review 3 months after starting medication and every 12 months thereafter.

Your annual review can be done by completing this questionnaire as long as the original prescription was issued by Teldoc Medical Practice and you are happy with it and wish to continue with your current therapy.

If you have been advised by the practice to submit an HRT Review Form please use this form.

Your prescription will be processed and be available for collection within the usual processing time of 5 working days. You will only be contacted by the practice if there are any follow up questions from the GP/PN.

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Privacy Consent – This form collects personal and medical information about you/ We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage submitted data.

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