Period delay medication request

Please note this request can take up to 28 days to process

This service is available from online pharmacies

Use this service to request medication to delay your period (menstruation).

You can use this service if you:

• are registered at the surgery

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 01603 437 559.