Skip to main content
  • Language
    • Afrikaans
    • Albanian
    • Arabic
    • Armenian
    • Azerbaijani
    • Basque
    • Belarusian
    • Bengali
    • Bulgarian
    • Catalan
    • Chinese (Simplified)
    • Chinese (Traditional)
    • Croatian
    • Czech
    • Danish
    • Dutch
    • Esperanto
    • Estonian
    • Filipino
    • Finnish
    • French
    • Galician
    • Georgian
    • German
    • Greek
    • Gujarati
    • Haitian Creole
    • Hebrew
    • Hindi
    • Hungarian
    • Icelandic
    • Indonesian
    • Irish
    • Italian
    • Japanese
    • Kannada
    • Korean
    • Lao
    • Latin
    • Latvian
    • Lithuanian
    • Macedonian
    • Malay
    • Maltese
    • Norwegian
    • Persian
    • Polish
    • Portuguese
    • Punjabi
    • Romanian
    • Russian
    • Serbian
    • Slovak
    • Slovenian
    • Spanish
    • Swahili
    • Swedish
    • Tamil
    • Telugu
    • Thai
    • Turkish
    • Ukrainian
    • Urdu
    • Vietnamese
    • Welsh
    • Yiddish
  • 01926 316711
  • Text Size
    • Increase Text Size
    • Decrease Text Size
    • Reset Text Size
Whitnash Medical Centre Providing NHS services
Providing NHS services
Search
Show Main Menu
  • Home
  • Appointments
  • Repeat Prescriptions
  • Times
  • COVID + Vaccine
    • Coronavirus Information
    • Coronavirus + Vaccine
    • COVID Vaccine
    • How to get proof of COVID Vaccination Status
    • How to demonstrate your COVID vaccination status
  • Information Zone
    • Asthma
    • Bowel Cancer Screening
    • Breast Cancer Screening
    • Cervical Cancer Screening
    • Contraception
    • COVID Vaccinations
    • Eye Care
    • HRT
    • Mental Health Resources
    • News
    • Run Talk Run
    • Self-referral Physiotherapy
    • Sexual Health
    • Steroid Injections
    • Social Prescribing
  • Contact
Show Side Menu
  • Admin: ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist
  • Alcohol Audit C
  • Asthma Review
  • Change of Address
  • Communication Consent
  • Patient Health Questionnaire (PHQ-9)
  • Travel Vaccinations
  • Update Clinical Record

Key Information

  • About The Practice
  • Practice Charter
  • Care Quality Comission
  • Courtesy
  • Data Choices
  • Extended Access Service
  • Friends & Family Test
  • General Data Protection Regulation
  • Home Visits
  • GP Net Earnings
  • New Patient Registration
  • Non NHS Services
  • Online Access
  • Patient Participation Group
  • Practice Policies
  • Services
  • Summary Care Record
  • Catchment Area
  • Vasectomy
  • Coil and implant fitting and replacement
Call 111 if it's less urgent than 999
  • Live Well
  • Conditions A to Z

BBC Health News

  • Stroke survivors trial new at-home tech: 'It's given me my freedom back'14 Feb 2026 01:35Participants in the NHS 'Triceps' trial wear a device in their ear which emits electrical pulses while they do rehab.
  • High Court dismisses challenge to single-sex toilet guidance13 Feb 2026 16:57Campaigners claimed the guidance for employers, such as hospitals, shops and restaurants, was "legally flawed" and "overly simplistic".
  • Nurses and other NHS staff to get 3.3% pay rise12 Feb 2026 16:49Unions angry, but government says it demonstrates its commitment to workforce.
  • Critical incident declared at Nottingham hospitals13 Feb 2026 15:12A high number of elderly people on wards and respiratory cases in A&E prompt warnings from staff.
  • Vaping in cars with children could be banned under new plans13 Feb 2026 00:12The plans are subject to a 12-week public consultation which starts on Friday.
  • Can a pulse of electricity to the brain make us less selfish?13 Feb 2026 00:06Scientists have discovered how to make people less selfish - slightly and temporarily - by stimulating two areas of the brain.
Home > Reception: Contraception Options

Reception: Contraception Options

There are lots of different methods of contraception available and different types will suit different people.

Methods can be hormonal or non hormonal.

Non hormonal methods include the copper coil and barrier methods, such as condoms or the female diaphragm or condom.

Hormonal methods include pills, a patch, vaginal ring or contraceptive injection. Or there are longer acting methods such as hormonal coils and the implant.

The NHS website below contains lots of useful information about these different methods.

www.nhs.uk/contraception/

Please look through this website and then fill in as much information as possible.

Some of this information will already be included in your medical notes but this is a good opportunity to update any changes.

Please do not write any clinical queries on this form. Any clinical queries or request for appointments via this form will be discarded. To make an appointment either book online via the NHS app/Patient access or by calling reception 01926 316711. We will start to process your form by the next working day but it will take up to 1 working day to complete. Please DO NOT call before 1 working day as you will not receive a status update from reception or the administrative team. If you are NOT a registered patient then your form will be discarded. This service is only for patients registered at the surgery aged 16 and over; and for parents or legal guardians of children. Forms must be completed in the UK due to GDPR regulations.

Home Button

Online Consultation Information

 

 

Personal details
Current contraception
If yes, what have you used and did it suit you? If it did not suit you please explain why not or what you didn't like.
Health information

Sometimes other health problems or medication can affect the types of contraception that are safe to use. Answering these questions will help us work out which options are best for you.

If yes please let us know if you are breastfeeding
Please tick the box against any conditions you have been diagnosed with:
Please tick the box next to any conditions that are present in your family:
And some final details

Thank you for completing this form


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Local Services
Aesthetic
& Wellness
Physio

Site

  • Sitemap
  • Back To Top

About

  • Disclaimer
  • Website Privacy
  • Website Accessibility
  • Cookies
  • Content Attribution

Contact

Whitnash Medical Centre

110 Coppice Road , Whitnash, Warwickshire, CV31 2LT

  • 01926 316711
  • reception@whitnashmc.nhs.uk
© Neighbourhood Direct Ltd  2026
GP Practice Website by Oldroyd Publishing Group

Loading...

Local Services
Aesthetic
& Wellness
Physio