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.

Supplements for (peri)menopause
For many women, hormone replacement therapy remains the most effective, evidence-based treatment for managing hot flushes, night sweats, and genitourinary symptoms. While dietary supplements are not a substitute for prescribed medical therapy, they can play a meaningful, supportive role.
Midlife is a complex physiological transition. Chosen thoughtfully, high-quality supplements can help bridge specific nutritional gaps, supporting your long-term health alongside medical care and lifestyle foundations.
Prescription Request Form
Use this request form to submit your request for your prescriptions, YES products, and supplements.
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, 1) we may prescribe a combination of patches to achieve the correct dose, or 2)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.