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panraa-clinics

Questionnaire for oral contraceptive pill (OCP) consult

In order to answer these questions you must have a good understanding of your health and past medical history. Let’s begin:

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I understand any treatment that is prescribed is in accordance with information I have provided. Panraa Clinics therefore takes no liability for loss or damage arising from services or medications prescribed if I have supplied incorrect or incomplete information. I confirm that this consult is for myself only.