{"id":8563,"date":"2020-09-30T17:47:53","date_gmt":"2020-09-30T16:47:46","guid":{"rendered":"https:\/\/www.abercrombypractice.scot.nhs.uk\/?page_id=8563"},"modified":"2020-11-09T12:08:29","modified_gmt":"2020-11-09T12:08:29","slug":"hormone-replacement-therapy-review","status":"publish","type":"page","link":"https:\/\/www.abercrombypractice.scot.nhs.uk\/your-record\/electronic-reviews\/hormone-replacement-therapy-review\/","title":{"rendered":"Hormone Replacement Therapy Review Form"},"content":{"rendered":"\n<p>We can offer a telephone\/video review &nbsp;rather than having patients attend the surgery unnecessarily.<strong>&nbsp; Below there are links to information<\/strong><\/p>\n\n\n\n<p><strong>You will need an up to date blood pressure reading before you complete the online details<\/strong>. This can be easily organised using a home monitoring machine or through local pharmacies and Gyms. Please record this before you complete the application.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nhsinform.scot\/tests-and-treatments\/medicines-and-medical-aids\/types-of-medicine\/hormone-replacement-therapy-hrt\">General information<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.nhs.uk\/conditions\/hormone-replacement-therapy-hrt\/alternatives\/\">Alternatives to HRT<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator is-style-wide\"\/>\n\n\n<link rel='stylesheet' id='formidable-css' href='https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=4221852' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_big_text\" id=\"frm_form_46_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_pro_form \" id=\"form_hnlsj639cb576f269c46586bb81b9c7a2e311\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">HRT<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"46\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_46\" id=\"frm_hide_fields_46\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"hnlsj639cb576f269c46586bb81b9c7a2e311\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_46\" name=\"frm_submit_entry_46\" value=\"53c2586c0b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/8563\" \/><div id=\"frm_field_1127_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_xu1tj63112bc296bdbad4c3711a9c8f7512b8\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xu1tj63112bc296bdbad4c3711a9c8f7512b8\" name=\"item_meta[1127]\" value=\"\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1128_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_xt7az637948b639f338e6a19e1\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xt7az637948b639f338e6a19e1\" name=\"item_meta[1128]\" value=\"\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1129_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_ppbxb6349ae66e56d23771e5e35663ad2a201\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_ppbxb6349ae66e56d23771e5e35663ad2a201\" name=\"item_meta[1129]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_ppbxb6349ae66e56d23771e5e35663ad2a201\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_ppbxb6349ae66e56d23771e5e35663ad2a201\">Enter Email<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1130_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_w1eya634935ffe503152f77b59eaac7bac912\" class=\"frm_primary_label\">Date of birth\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w1eya634935ffe503152f77b59eaac7bac912\" name=\"item_meta[1130]\" value=\"\"  data-frmmask=\"99\/99\/9999\" style=\"width:200px\" placeholder=\"DD\/MM\/YYYY\" data-reqmsg=\"Date of birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"\\d\\d\\\/\\d\\d\\\/\\d\\d\\d\\d$\"   aria-describedby=\"frm_desc_field_w1eya634935ffe503152f77b59eaac7bac912\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_w1eya634935ffe503152f77b59eaac7bac912\">Please use format day\/month\/year e.g. 12\/05\/1979<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1317_container\" class=\"frm_form_field frm_section_heading form-field \">\n<h3 class=\"frm_pos_top frm_section_spacing\">Your Height and Weight<\/h3>\n\n\n<\/div>\n<div id=\"frm_field_1319_container\" class=\"frm_form_field form-field  frm_embed_form_container\">\n<input type=\"hidden\" name=\"item_meta[1319][form]\" value=\"51\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_1319-0\" class=\"frm_repeat_sec frm_repeat_1319 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[1319][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[1319][0][0]\" value=\"\" \/><div id=\"frm_field_1255-1319-0_container\" class=\"frm_form_field frm_section_heading form-field  frm_two_thirds frm_hide_section frm_field_1255_container\">\r\n<h3 class=\"frm_pos_none frm_section_spacing\">Weight<\/h3>\r\n\r\n\r\n<div id=\"frm_field_1256-1319-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_field_1256_container\">\r\n    <div  id=\"field_vct2g-0_label\" class=\"frm_primary_label\">Unit of measurement\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_vct2g-0_label\" role=\"group\">\t\t<select name=\"item_meta[1319][0][1256]\" id=\"field_vct2g-0\"  data-sectionid=\"1255\" data-frmval=\"Metric\" data-reqmsg=\"Unit of measurement cannot be blank.\" aria-required=\"true\" data-invmsg=\"Unit of measurement is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Metric\" selected='selected'>Metric<\/option><option  value=\"Imperial\">Imperial<\/option>\t<\/select>\n\t<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1257-1319-0_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first frm_field_1257_container\">\r\n    <label for=\"field_ert3z-0\" id=\"field_ert3z-0_label\" class=\"frm_primary_label\">Height\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_ert3z-0\" name=\"item_meta[1319][0][1257]\" value=\"\"  data-sectionid=\"1255\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"999\" step=\"any\"\/><span class=\"frm_inline_box\">cm<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1258-1319-0_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_field_1258_container\">\r\n    <label for=\"field_f5dh2-0\" id=\"field_f5dh2-0_label\" class=\"frm_primary_label\">Weight\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_f5dh2-0\" name=\"item_meta[1319][0][1258]\" value=\"\"  data-sectionid=\"1255\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"999\" step=\"any\"\/><span class=\"frm_inline_box\">kg<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1259-1319-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first frm_field_1259_container\">\r\n    <label for=\"field_js0y8-0\" id=\"field_js0y8-0_label\" class=\"frm_primary_label\">Height\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_js0y8-0\" name=\"item_meta[1319][0][1259]\" value=\"\"  data-sectionid=\"1255\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"10\" step=\"1\"\/><span class=\"frm_inline_box\">ft<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1260-1319-0_container\" class=\"frm_form_field form-field  frm_hidden_container frm_fourth frm_field_1260_container\">\r\n    <label for=\"field_rkvu2-0\" id=\"field_rkvu2-0_label\" class=\"frm_primary_label\">Inches\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_rkvu2-0\" name=\"item_meta[1319][0][1260]\" value=\"\"  data-sectionid=\"1255\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"500\" step=\"any\"\/><span class=\"frm_inline_box\">in<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1261-1319-0_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_field_1261_container\">\r\n    <label for=\"field_fy6ip-0\" id=\"field_fy6ip-0_label\" class=\"frm_primary_label\">Weight\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_fy6ip-0\" name=\"item_meta[1319][0][1261]\" value=\"\"  data-sectionid=\"1255\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/><span class=\"frm_inline_box\">lbs<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<input type=\"hidden\" name=\"item_meta[1319][0][1263]\" id=\"field_7mv2l-0\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[1319][0][1264]\" id=\"field_vitt9-0\" value=\"\"     \/>\n<div id=\"frm_field_1265-1319-0_container\" class=\"frm_form_field frm_section_heading form-field  frm_third frm_color_block frm_hide_section frm_field_1265_container\">\r\n<h3 class=\"frm_pos_none frm_section_spacing\">BMI<\/h3>\r\n\r\n\r\n<div id=\"frm_field_1266-1319-0_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_total frm_total_big frm_field_1266_container\">\r\n    <label for=\"field_7qzay-0\" id=\"field_7qzay-0_label\" class=\"frm_primary_label\">BMI\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_7qzay-0\" name=\"item_meta[1319][0][1266]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"1265\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[1319][0][1267]\" id=\"field_ogeuq-0\" value=\"\"  data-sectionid=\"1265\"    \/>\n<div id=\"frm_field_1268-1319-0_container\" class=\"frm_form_field  frm_html_container frm_field_1268_container form-field\">Underweight<\/div>\n<div id=\"frm_field_1269-1319-0_container\" class=\"frm_form_field  frm_html_container frm_field_1269_container form-field\">Healthy<\/div>\n<div id=\"frm_field_1270-1319-0_container\" class=\"frm_form_field  frm_html_container frm_field_1270_container form-field\">Overweight<\/div>\n<div id=\"frm_field_1271-1319-0_container\" class=\"frm_form_field  frm_html_container frm_field_1271_container form-field\">Obese<\/div>\n<\/div>\n<\/div>\n\n<\/div>\n<div id=\"frm_field_1131_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">HRT Review<\/h3>\r\n\r\n\r\n<div id=\"frm_field_1132_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_8ml1qade13a0f8a1056495e95_label\" class=\"frm_primary_label\">Are you happy with your current HRT?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_8ml1qade13a0f8a1056495e95_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_1132-1131-0\"><label for=\"field_8ml1qade13a0f8a1056495e95-0\">\t\t<input type=\"radio\" name=\"item_meta[1132]\" id=\"field_8ml1qade13a0f8a1056495e95-0\" value=\"Yes\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Are you happy with your current HRT? cannot be blank.\" data-invmsg=\"Are you happy with your current HRT? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1132-1131-1\"><label for=\"field_8ml1qade13a0f8a1056495e95-1\">\t\t<input type=\"radio\" name=\"item_meta[1132]\" id=\"field_8ml1qade13a0f8a1056495e95-1\" value=\"No\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Are you happy with your current HRT? cannot be blank.\" data-invmsg=\"Are you happy with your current HRT? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1133_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_j4xer61c032f1c6\" id=\"field_j4xer61c032f1c6_label\" class=\"frm_primary_label\">Your blood pressure\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j4xer61c032f1c6\" name=\"item_meta[1133]\" value=\"\"  data-sectionid=\"1131\" data-reqmsg=\"Your blood pressure cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_j4xer61c032f1c6\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_j4xer61c032f1c6\">e.g. 120\/70<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1136_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_8hbhye152fca3eb390e9ed64a_label\" class=\"frm_primary_label\">Do you smoke?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_8hbhye152fca3eb390e9ed64a_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_1136-1131-0\"><label for=\"field_8hbhye152fca3eb390e9ed64a-0\">\t\t<input type=\"radio\" name=\"item_meta[1136]\" id=\"field_8hbhye152fca3eb390e9ed64a-0\" value=\"Yes\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Do you smoke? cannot be blank.\" data-invmsg=\"Do you smoke? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1136-1131-1\"><label for=\"field_8hbhye152fca3eb390e9ed64a-1\">\t\t<input type=\"radio\" name=\"item_meta[1136]\" id=\"field_8hbhye152fca3eb390e9ed64a-1\" value=\"No\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Do you smoke? cannot be blank.\" data-invmsg=\"Do you smoke? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1137_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_br62iaf04dd51ae_label\" class=\"frm_primary_label\">Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_br62iaf04dd51ae_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_1137-1131-0\"><label for=\"field_br62iaf04dd51ae-0\">\t\t<input type=\"radio\" name=\"item_meta[1137]\" id=\"field_br62iaf04dd51ae-0\" value=\"Yes\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness? cannot be blank.\" data-invmsg=\"Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1137-1131-1\"><label for=\"field_br62iaf04dd51ae-1\">\t\t<input type=\"radio\" name=\"item_meta[1137]\" id=\"field_br62iaf04dd51ae-1\" value=\"No\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness? cannot be blank.\" data-invmsg=\"Have you ever had a blood clot, heart disease, stroke, cancer, migraine or major illness? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1147_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_9zs9i_label\" class=\"frm_primary_label\">Are you still in need of contraception?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_9zs9i_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_1147-1131-0\"><label for=\"field_9zs9i-0\">\t\t<input type=\"radio\" name=\"item_meta[1147]\" id=\"field_9zs9i-0\" value=\"Yes\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Are you still in need of contraception? cannot be blank.\" data-invmsg=\"Are you still in need of contraception? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1147-1131-1\"><label for=\"field_9zs9i-1\">\t\t<input type=\"radio\" name=\"item_meta[1147]\" id=\"field_9zs9i-1\" value=\"No\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Are you still in need of contraception? cannot be blank.\" data-invmsg=\"Are you still in need of contraception? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1148_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_acg2o_label\" class=\"frm_primary_label\">Are you suffering any menopausal symptoms?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_acg2o_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_1148-1131-0\"><label for=\"field_acg2o-0\">\t\t<input type=\"radio\" name=\"item_meta[1148]\" id=\"field_acg2o-0\" value=\"Yes\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Are you suffering any menopausal symptoms? cannot be blank.\" data-invmsg=\"Are you suffering any menopausal symptoms? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1148-1131-1\"><label for=\"field_acg2o-1\">\t\t<input type=\"radio\" name=\"item_meta[1148]\" id=\"field_acg2o-1\" value=\"No\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Are you suffering any menopausal symptoms? cannot be blank.\" data-invmsg=\"Are you suffering any menopausal symptoms? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1149_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_zgwcr_label\" class=\"frm_primary_label\">Have you had a hysterectomy?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_zgwcr_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_1149-1131-0\"><label for=\"field_zgwcr-0\">\t\t<input type=\"radio\" name=\"item_meta[1149]\" id=\"field_zgwcr-0\" value=\"Yes\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Have you had a hysterectomy? cannot be blank.\" data-invmsg=\"Have you had a hysterectomy? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1149-1131-1\"><label for=\"field_zgwcr-1\">\t\t<input type=\"radio\" name=\"item_meta[1149]\" id=\"field_zgwcr-1\" value=\"No\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Have you had a hysterectomy? cannot be blank.\" data-invmsg=\"Have you had a hysterectomy? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1150_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_ugu3r_label\" class=\"frm_primary_label\">Do you have a coil in?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ugu3r_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_1150-1131-0\"><label for=\"field_ugu3r-0\">\t\t<input type=\"radio\" name=\"item_meta[1150]\" id=\"field_ugu3r-0\" value=\"Yes\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Do you have a coil in? cannot be blank.\" data-invmsg=\"Do you have a coil in? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1150-1131-1\"><label for=\"field_ugu3r-1\">\t\t<input type=\"radio\" name=\"item_meta[1150]\" id=\"field_ugu3r-1\" value=\"No\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Do you have a coil in? cannot be blank.\" data-invmsg=\"Do you have a coil in? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1138_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_3wllid2ed430d89bb158c6a21_label\" class=\"frm_primary_label\">Do you understand and have you read about  all the risk and benefits of taking HRT?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_3wllid2ed430d89bb158c6a21_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_1138-1131-0\"><label for=\"field_3wllid2ed430d89bb158c6a21-0\">\t\t<input type=\"radio\" name=\"item_meta[1138]\" id=\"field_3wllid2ed430d89bb158c6a21-0\" value=\"Yes\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Do you understand and have you read about  all the risk and benefits of taking HRT? cannot be blank.\" data-invmsg=\"Do you understand and have you read about  all the risk and benefits of taking HRT? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1138-1131-1\"><label for=\"field_3wllid2ed430d89bb158c6a21-1\">\t\t<input type=\"radio\" name=\"item_meta[1138]\" id=\"field_3wllid2ed430d89bb158c6a21-1\" value=\"No\"\n\t\t   data-sectionid=\"1131\" data-reqmsg=\"Do you understand and have you read about  all the risk and benefits of taking HRT? cannot be blank.\" data-invmsg=\"Do you understand and have you read about  all the risk and benefits of taking HRT? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1141_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_spq8l43cfffb41debe748ad23e528ac40b325\" class=\"frm_primary_label\">Best number to call you on\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_spq8l43cfffb41debe748ad23e528ac40b325\" name=\"item_meta[1141]\" value=\"\"  data-sectionid=\"1131\" data-reqmsg=\"Best number to call you on cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_spq8l43cfffb41debe748ad23e528ac40b325\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_spq8l43cfffb41debe748ad23e528ac40b325\">One of our clinicians will contact you on this number in the next couple of weeks.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1196_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_6jgge\" id=\"field_6jgge_label\" class=\"frm_primary_label\">The practice will be in contact. Any comments you would like to add?\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1196]\" id=\"field_6jgge\" rows=\"5\"  data-sectionid=\"1131\" data-invmsg=\"The practice will be in contact. Any comments you would like to add? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1143_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Privacy Policy<\/h3>\r\n\r\n\r\n<div id=\"frm_field_1144_container\" class=\"frm_form_field  frm_html_container form-field\">This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our <a href=\"https:\/\/www.abercrombypractice.scot.nhs.uk\/about-us\/practice-policies\/patient-record\/how-we-use-your-data\/privacy-policy\/\" target=\"_blank\">Privacy Policy<\/a> to discover how we protect and manage your submitted data.<\/div>\n<div id=\"frm_field_1145_container\" class=\"frm_form_field form-field  frm_required_field frm_inline_container vertical_radio\">\r\n    <label for=\"field_4oeoab43c5992f16f40fbf7aedff4f90cf7\" class=\"frm_primary_label\"> \r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1145-1143-0\"><label for=\"field_4oeoab43c5992f16f40fbf7aedff4f90cf7-0\"><input type=\"checkbox\" name=\"item_meta[1145][]\" id=\"field_4oeoab43c5992f16f40fbf7aedff4f90cf7-0\" value=\"I consent to the practice collecting and storing my data from this form.\"  data-sectionid=\"1143\" data-reqmsg=\"We need your consent to proceed. Please tick the box to consent.\" data-invmsg=\"  is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> I consent to the practice collecting and storing my data from this form.<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<input name=\"frm_state\" type=\"hidden\" value=\"JuVaqbDyztKR+V7IKDnq8yDL6J1AeYv3Ako+0TSm4FM=\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Send<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>We can offer a telephone\/video review &nbsp;rather than having patients attend the surgery unnecessarily.&nbsp; Below there are links to information You will need an up to date blood pressure reading before you complete the online details. This can be easily organised using a home monitoring machine or through local pharmacies and Gyms. Please record this &#8230; <a title=\"Hormone Replacement Therapy Review Form\" class=\"read-more\" href=\"https:\/\/www.abercrombypractice.scot.nhs.uk\/your-record\/electronic-reviews\/hormone-replacement-therapy-review\/\" aria-label=\"Read more about Hormone Replacement Therapy Review Form\">Read more<\/a><\/p>\n","protected":false},"author":6577921,"featured_media":8565,"parent":1340,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_uag_custom_page_level_css":"","footnotes":"","_links_to":"","_links_to_target":""},"acf":[],"uagb_featured_image_src":{"full":["https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/uploads\/2020\/09\/j5almo1e8ru-scaled.jpg",2400,1600,false],"thumbnail":["https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/uploads\/2020\/09\/j5almo1e8ru-150x150.jpg",150,150,true],"medium":["https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/uploads\/2020\/09\/j5almo1e8ru-300x200.jpg",300,200,true],"medium_large":["https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/uploads\/2020\/09\/j5almo1e8ru-768x512.jpg",768,512,true],"large":["https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/uploads\/2020\/09\/j5almo1e8ru-1024x683.jpg",1024,683,true],"1536x1536":["https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/uploads\/2020\/09\/j5almo1e8ru-1536x1024.jpg",1536,1024,true],"2048x2048":["https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/uploads\/2020\/09\/j5almo1e8ru-2048x1365.jpg",2048,1365,true],"mailpoet_newsletter_max":["https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-content\/uploads\/2020\/09\/j5almo1e8ru-1320x880.jpg",1320,880,true]},"uagb_author_info":{"display_name":"Editor","author_link":"https:\/\/www.abercrombypractice.scot.nhs.uk\/author\/gary-genpra\/"},"uagb_comment_info":0,"uagb_excerpt":"We can offer a telephone\/video review &nbsp;rather than having patients attend the surgery unnecessarily.&nbsp; Below there are links to information You will need an up to date blood pressure reading before you complete the online details. This can be easily organised using a home monitoring machine or through local pharmacies and Gyms. Please record this&hellip;","publishpress_future_action":{"enabled":false,"date":"2024-05-04 22:14:22","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/pages\/8563"}],"collection":[{"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/users\/6577921"}],"replies":[{"embeddable":true,"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/comments?post=8563"}],"version-history":[{"count":0,"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/pages\/8563\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/pages\/1340"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/media\/8565"}],"wp:attachment":[{"href":"https:\/\/www.abercrombypractice.scot.nhs.uk\/wp-json\/wp\/v2\/media?parent=8563"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}