If you are due for a review of your Hormone Replacement Therapy please complete the form below. If you wish we can provide a telephone or video review consultation to save you coming in to the practice.
You will need an up to date blood pressure reading before you complete the online details. If you don't have a home monitoring machine you can get this through local pharmacies and Gyms.
One of the clinicians will call you on the number provided in the next couple of weeks
Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
I consent to my information being used for the purposes described above and wish to submit this online form to Ongar Health Centre • Ongar War Memorial Medical, Fyfield Road, Ongar, Essex, CM5 0AL.
Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.
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