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

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.

Speak with a specialist

To ensure the highest standard of care, we require up-to-date clinical reviews for all renewals. If you are due for a check-in or are unsure of your status, please schedule a follow-up consultation here.

Prescription Request Form

Use this request form to submit your request for your prescriptions, YES products, and supplements.

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Is this a repeat prescription? (noted in your clinic letter)
No
Yes
I don't know
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Are you on a monthly subscription?
No, I'm not on a subscription plan
Yes, I'm on a subscription plan (meds included)
Yes, I'm on a subscription plan (meds NOT included)
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Would you like to add YES products?
Yes - Vaginal Moisturiser Gel (100ml | £12.99)
Yes - Water Based Lubricant (50ml | £8.99)
Yes - Both Vaginal Moisturiser & Water Based Lubricant (discounted; £18)
No, thank you
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Would you like to add creatine?
Yes - Creatine (3-month supply | £54)
No, thank you
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Would you like to add magnesium?
Yes - Magnesium (3-month supply | £48)
No, thank you
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Would you like to add vitamin B complex?
Yes - Vitamin B Complex (3-month supply | £42)
No, thank you
*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, 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.

FAQ

Frequently asked questions