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General Health Questions

To assess the suitability of the item you have ordered we’re going to have to ask you some brief questions regarding your general health

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Do you suffer from or have you been diagnosed with any other medical condition(s)?

Please describe any condition you suffer from or have been diagnosed with, past or present, for example: diabetes, high blood pressure etc… Please also describe any operations or conditions you have previously had or suffered from that may effect your treatment, for example: heart bypass operation

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Are you on any other medication (including prescription medicine, over the counter medicines, vitamins or supplements)?

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Do you have any allergies?

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Are you registered with a GP in the UK?

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If yes, Do you give permission for Pharmacy Planet to inform your GP of this supply?

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If yes, Please select your GP surgery from the list

Would you like to upload any documents for the prescriber to see (for example, prescription, doctors letter or blood tests)?

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Do you suffer from or have you been diagnosed with any other medical condition(s)?

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No

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Manesha

You’re almost there!

It is the prescribers duty to ensure that the medicine is being used safely and appropriately. please answer a few questions about yourself to help us process your request.

- Manesha

Customer Service Team

Confidentiality & Authenticity Assured

Fully Regulated UK Pharmacy
Authentic UK sourced medicines only.
Trading for more than 10 years.
Information Governance lead ensures all data is confidential

Need Help With Your Questionnaire?

Our customer service team is on hand Monday-Friday to help you with your queries.

Please call us on 08009788956 or
email us at: headoffice@pharmacyplanet.com

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