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.

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.

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Certified organic
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Free from glycerine and hormones
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Designed to be gentle and side-effect free
Speak with a specialist

To ensure the highest standard of care, we require up-to-date clinical reviews for all renewals. If you are due for a check-in or are unsure of your status, please schedule a follow-up consultation here.

Prescription Request Form

Use this request form to submit your request for your prescriptions and YES products.

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Is this a repeat prescription? (noted in your clinic letter)
No
Yes
I don't know
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Are you on a monthly subscription?
No, I'm not on a subscription plan
Yes, I'm on a subscription plan (meds included)
Yes, I'm on a subscription plan (meds NOT included)
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Would you like to add YES products?
Yes - Vaginal Moisturiser Gel (100ml | £12.99)
Yes - Water Based Lubricant (50ml | £8.99)
Yes - Both Vaginal Moisturiser & Water Based Lubricant (discounted; £18)
No, thank you
*Estradot availability update*

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.

FAQ

Frequently asked questions