You may wish to delay a period if it is due at a time that would be inconvenient, such as a holiday or exam. If you are not already taking ‘the pill’ then a hormone tablet could be prescribed for this.
Please complete this form to request a prescription to delay a period.
PLEASE NOTE – THIS FORM MUST BE COMPLETED AT LEAST 2 WEEKS BEFORE YOUR EVENT / HOLIDAY.
Request for Prescription to Delay a Period
This form provides the GP with important information, including to assess your risk of thrombosis / DVT. Please FULLY COMPLETE the form.