Sayana Press Request

Complete the eReview below for a repeat of your contraception.

You will not need to attend the surgery. Please research Sayana Press before advancing with this eReview.

Enter Email
Please use format day/month/year e.g. 12/05/1979

Sayana Press Review

Are you happy with your contraception? *
We need this to calculate your BMI
Do you smoke? *
Do you understand and the risk and benefits of your current contraceptive? *
Would you like to consider the coil or implant? *
One of our clinicians will contact you on this number in the next couple of weeks.
How would you like to collect your prescription

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.