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

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.

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Please select if you would like to add YES products (required field)
No, thank you
Yes - Vaginal Moisturiser Gel, 100mls at £12.99 per tube
Yes - Water Based Lubricant, 50mls at £8.99 per tube
Yes- Both Vaginal Moisturiser & Water Based Lubricant (discounted; £18)
FAQ

Frequently asked questions

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