Contraceptive pill repeat prescription

Use this service to request a contraceptive pill repeat prescription. This form is for non-urgent queries.

You can use this service if you:

  • are registered as a patient with Manchester Medical or a resident in, and are currently in, the UK
  • are over 16 years old but you may use this service to contact the practice about a person you care for who is under 16
  • have had a blood pressure check within the last 6 months and can tell us the result

Before you start

If you have not had a blood pressure check within the last 6 months, contact your pharmacist to arrange one and submit this form when you have the result.

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

Find out about other ways to order your prescriptions.