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Final Confirmations
Please confirm you understand the following before submitting your consultation.
Do you have any allergies or sensitivities?
*
Yes
No
Does any of the following apply to you?
*
Overweight, BMI over 25
Smoker, including vaping and e-cigarettes
Regularly drink over 14 units per week
Yes
No
Is there anything else you feel would be useful for the clinician to know?
*
Yes
No
Do you agree to the following?
*
You will read the patient information leaflet supplied with your medication
You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment.
The treatment is solely for your own use
You have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.
I agree
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