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South Tyneside
Sexual Health Service Survey
Please help South Tyneside Public Heath by filling in your Pharmacy details and questions below. If the form does not work you can email Wendy Surtess direct. (
[email protected]
)
Any queries should also be directed to Wendy
South Tyneside Survey
*
Indicates required field
Name
*
First
Last
Pharmacy
*
Pharmacy Address
*
Contact No
*
Contact Email
*
Emergency Contraception Consultation
*
Yes
No - Referral Pathway in Place
No - No Referral Pathway
Emergency Contraception Provided
*
Yes
No - Referral Pathway in Place
No - no referral pathway
Chlamidya Screening
*
Yes
No - Referral pathway in place
No - no referral pathway
how many days a week is emergency contraception available from your service
*
Is there a referal pathway for provision of alternative emergency contraception options. (IUD and/or Ellaone)
*
Yes
No
Submit
Home
News Stream
Services
Gateshead - Dual Screening Service
Gateshead - Naloxone Supply Service
Gateshead - Alcohol IBA
NHS Health Checks - Gateshead
NHS Health Checks - South Tyneside
EHC-South Tyneside
EHC-Gateshead
Events
Contact Us
Search
