New patient HRT request

Use this service to request a HRT for your menopause symptoms.

You can use this service if:

• you are registered at the surgery

• you have been invited to do so

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 01242 672669.