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CONFIDENTIAL NHS Pharmacy Contraception Service reconsultation questionnaire To provide the contraceptive pill safely, we need to ask you a number of questions. Please complete this form before your

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How to fill out contraception service pre-consultation questionnaire

01

Start by carefully reading and understanding the questions on the contraception service pre-consultation questionnaire.

02

Provide accurate and detailed information about your medical history, current medications, and any allergies or health conditions you may have.

03

Answer all questions honestly and to the best of your knowledge to ensure appropriate contraceptive recommendations.

04

Be prepared to discuss your sexual activity and pregnancy plans with the healthcare provider during the consultation.

05

Ask any questions you may have about the questionnaire or contraception options before submitting it.

Who needs contraception service pre-consultation questionnaire?

01

Anyone seeking contraception services or advice from a healthcare provider may need to fill out a contraception service pre-consultation questionnaire.

02

It is especially important for individuals who are considering starting or changing their contraceptive method to complete this questionnaire to help the healthcare provider assess their needs and provide appropriate recommendations.

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What is contraception service pre-consultation questionnaire?

The contraception service pre-consultation questionnaire is a tool used to gather essential information from individuals prior to their consultation regarding contraceptive options, ensuring the healthcare provider is well-informed to tailor services to the individual's needs.

Who is required to file contraception service pre-consultation questionnaire?

Individuals seeking contraceptive services are typically required to file the contraception service pre-consultation questionnaire to facilitate effective and personalized healthcare.

How to fill out contraception service pre-consultation questionnaire?

To fill out the contraception service pre-consultation questionnaire, individuals should provide personal health information, any existing medical conditions, previous contraceptive use, and specific preferences or concerns regarding contraceptive methods.

What is the purpose of contraception service pre-consultation questionnaire?

The purpose of the contraception service pre-consultation questionnaire is to collect pertinent information that will assist healthcare providers in offering informed recommendations and options tailored to the individual's health status and preferences.

What information must be reported on contraception service pre-consultation questionnaire?

The questionnaire typically requires reporting on personal demographics, medical history, current medications, previous contraceptive methods used, and any allergies or contraindications related to contraceptive options.

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