Assessment
Progress 0/

Genital Herpes Consultation

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Liver problems Kidney problems Immunodeficiency conditions (eg. HIV) Nervous system abnormalities Any serious medical condition which may require immediate hospitalisation

Liver problems Kidney problems Immunodeficiency conditions (eg. HIV) Nervous system abnormalities Any serious medical condition which may require immediate hospitalisation

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You understand the prescriber will take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health. You will read the Patient Information Leaflet supplied with your medication You agree to Cloud Pharmacy terms and conditions and privacy policy. The treatment is solely for your own use You have answered all the above questions accurately and truthfully You will inform your GP of this purchase if appropriate

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Enter GP details Manually or search via GP postcode/name.

I agree that the information I have provided is correct and I give consent to Dr Weightmans Pharmacy to verify this information with my SCR (Summary Care Records) if required.
Dr Weightmans
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