Watlington & Chalgrove Surgeries

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Request for Prescription to delay a Period

Request for Prescription to Delay a Period

You may wish to delay a period if it is due at a time that would be inconvenient, such as a holiday or exam. If you are not already taking “the pill”, then a hormone tablet could be prescribed for this.

Please request and complete  our standard form to request a prescription to delay a period and send to The Chiltern & The Brook Surgeries.

 

PLEASE NOTE – THIS FORM MUS BE COMPLETED AND SUBMITTED AT LEAST TWO WEEKS BEFORE YOUR EVENT/HOLIDAY.