HRT questionnaire

Use this service to request hormone replacement therapy.

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
  • other requirements such as… smoking status, height and weight, a blood pressure reading
Start now

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