Please only complete the following questionnaire if requested by your GP practice as part of your routine HRT review.
This questionnaire is for a routine review of your HRT. If you are experiencing any of the following ring your GP immediately:
Please see the following links for further information on the HRT that you may find useful:
Menopause Matters - https://www.menopausematters.co.uk/
NHS - https://www.nhs.uk/conditions/menopause/
Patient.info Menopause - https://patient.info/womens-health/menopause
Patient.info HRT - https://patient.info/womens-health/menopause/hormone-replacement-therapy-hrt
Patient.info Alternatives to HRT - https://patient.info/womens-health/menopause/alternatives-to-hrt
Please see the following links for further information about HRT & Breast Cancer that you may find useful:
MHRA HRT & Breast Cancer - https://assets.publishing.service.gov.uk/media/5d68d0e340f0b607c6dcb697/HRT-patient-sheet-3008.pdf
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
I consent to my information being used for the purposes described above and wish to submit this online form to
Le Molay-Littry Way, Bovey Tracey, Devon, TQ13 9QP.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.