You can renew your contraception prescription without a visit to the practice.

To complete the process please fill in the form below and submit it. Your new script will be sent to the pharmacy that you specify.

If you still have any concerns about your contraception please contact us by using the online services.

Select your practice * Kings Cross Surgery Somers Town Medical Centre

Your full name *

Your Date of Birth *

Your email address

If you have taken your blood pressure recently, please enter it here

e.g. 120/80

Please confirm: *

I am aware of the risk of contraception including increased incidence of clots in leg or lung, increased incidence of breast cancer, raised blood pressure and that contraception is never 100% effective

I will read the leaflet supplied

I will have my blood pressure checked in next 3-6 months

Please enter the name of the pharmacy you wish your script to be mailed to *

If you are human, leave this field blank.