This form should only be used by patients already receiving HRT.

Patients hoping to start HRT will need a consultation with a GP prior to starting HRT. 

This form is specifically to request hormone replacement therapy for menopause, commonly referred to as HRT. Ensure that you complete all steps of this form to successfully provide us with the information we require. The more information you can provide us with, the more helpful this will be for our records and for your treatment.

• Please allow 10 working days for the practice to consider and process your request.
• You will also receive a notification email to your inbox confirming that the updates have been sent successfully. If you do not receive a confirmation, please check your Junk or Spam email folders before contacting the Practice.
• This form is only for HRT medication reviews, requests for other medication will not be processed. For more info on ordering repeat prescriptions click here