Use this service to complete your estradiol medication review.
As part of your ongoing care, we ask you to provide up-to-date information about your treatment. This helps us ensure your medication remains safe and effective.
📝 What happens next
Once you have submitted this form:
- A clinician will review your responses
- You may be contacted if further information is needed
- You may be invited to book a medication review or appointment if required
⏱️ Before you start
This form should take approximately 2–3 minutes to complete.
We will ask for:
- Your name, date of birth and contact details
- Information about your medication, symptoms and any side effects
⚠️ Important information
This form is part of your routine medication review.
If we do not have enough information to safely review your medication, you may be contacted to arrange further checks or an appointment.
Start now
You can also phone us on Burton Road 01332 737777 or Humbleton Drive 01332 737777.