Combined oral contraceptive pill questionnaire (COCP)

Use this service to provide information for your repeat prescription request of the combined oral contraceptive pill (COCP), helping clinicians identify the best course of action for your care.

You can use this service if you:

• are registered at the surgery

Before you start

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

You can also phone us on 0161 804 9899 or visit the surgery in person.