HRT Review Form

This form is only for patients who have already been prescribed HRT for menopause symptoms, are happy with it and would like to re-order it.

You’ll need a recent blood pressure reading to complete this form – you can use a home monitoring machine; a BP monitor is available in our main waiting room for patients who aren’t able to get a home monitoring machine.

A clinician will review your form and – if safe to do so – will re-prescribe your HRT medication for 6 months (normally will be up to 12 months but temporarily reduced due to current HRT supply issues); we’ll send you a text to let you know.

Your HRT will then be available for collection in a 7 days at your nominated pharmacy or from Reception.

You’ll then need to complete this review form every time you’d like us to re-prescribe HRT.

If after reviewing your form we need to have a further discussion with you before re-prescribing your HRT, we’ll text you to ask you to book a GP appointment.