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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.

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.
Certified organic
Free from glycerine and hormones
Designed to be gentle and side-effect free
Prescription Request Form
*Estradot availability update* There is currently a nationwide shortage of Estradot patches.
Our in-house pharmacy has limited stock of some strengths. If your usual dose is unavailable:
- We may prescribe a combination of patches to achieve the correct dose, or
- 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