Prescription request form
Prescription request form
For existing Menopause Care patients
Who can use this form?
If you require a prescription outside of a consultation, please complete the form to submit your request.
Please note we can only prescribe if your follow up reviews are up to date. If you are unsure, please book a follow up appointment instead.
You can submit a prescription request if:
- You are an existing Menopause Care patient
- Your follow-up reviews are up to date
- Your prescription has already been agreed as part of your clinic care plan
We are unable to issue repeat prescriptions if clinical reviews are overdue.
Please note:
- All prescription requests are reviewed by our clinical team
- We may contact you if further information is needed
- Medication costs are charged separately by the pharmacy
- An admin fee of £37 applies to all prescription requests
If you are uncertain whether a repeat prescription is appropriate, or if you would like to discuss your treatment in more detail, a follow-up appointment is the best next step.
A non-refundable £37 admin fee applies to all prescription requests.
This fee covers:
- Clinical and administrative processing
- Prescription authorisation and coordination
The admin fee does not include the cost of medication, which will be invoiced separately by the pharmacy.
By submitting the form, you confirm that you understand and accept this fee.
YES® intimate health products
We also offer the YES® product range, designed to support intimate and vaginal health as part of menopause and perimenopause care.
- Vaginal moisturisers for regular use to help manage ongoing dryness
- Lubricants for occasional use, including during sexual intercourse
These products can be particularly helpful during perimenopause and menopause.
- Select one product or both (available at a discounted rate)
- They will be added to your prescription request
- All items can be sent together with your medication
Prescription Request Form
Use this request form to submit your request for your prescriptions and YES products.
There is currently a nationwide shortage of Estradot patches.
Our partner pharmacies aim to keep all strengths of Estradot patches in stock. However, due to ongoing supply fluctuations, there may occasionally be temporary interruptions in availability of certain strengths.
If your usual dose is unavailable:
1) we may prescribe a combination of patches to achieve the correct dose, or
2)we may suggest a suitable alternative brand.
Please submit your request as usual.
Our team will contact you if any changes are needed before the prescription is issued.
Frequently asked questions
- You can request your GP takes your bloods for you but they are not under any obligation to do so, it is a favour rather than an expectation. In addition, they may not have access to all the bloods, particularly SHBG.
- You will need to take responsibility for having them done in good time for your appointment and for the results to be sent to us.
- We send all details of the bloods required in the clinic letter. Should your GP request this information please direct them to the clinic letter which you and they will have a copy of.
Most private clinics will not allow patients to have bloods done outside of their own clinic due to additional administrative work.
- We do allow this because we try to make our service accessible to as many women as possible but we cannot take responsibility for accessing results for bloods not generated by us.
The Consultation Fees for New Patients and Follow-Up Patients can be found on our Appointments and Pricing page.
- Some women only need one plus or minus a follow up. They are then happy for their GP to provide continuing care.
- Those with more complex needs may need more appointments.
- Women on HRT should have an annual review with their medication prescriber.
Please allow roughly 45 minutes for a new patient consultation and 30 minutes for a follow up.