Need help?
01708 368 680
Back to previous step
Step 2 of 3
Medical History
Please answer the following questions about the patient's medical history.
Do you have any bleeding disorders or are you taking anticoagulants?
*
Yes
No
Are you pregnant?
(Male patients answer no)
*
Yes
No
Are you breastfeeding?
(Male patients please answer no)
*
Yes
No
Are you under 9 years of age?
*
Yes
No
Have you had a hypersensitivity following a previous dose of Gardasil 9®, or Gardasil®/Silgard®?
*
Yes
No
Back
Continue
