+ UK Registered Pharmacy / We are a registered pharmacy (Reg No. 1042081) with the GPhC
Ear infections can be extremely painful. The main symptoms of an ear infection include an earache, difficulty hearing and a feeling of pressure or fullness in your ear. Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.
To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.
0%
Your hair loss started recently, and you've lost a lot of hair in less than four weeks.
Hair loss has occurred in irregular spots on your head.
Your scalp is itchy or inflamed.
You've lost your hair as a result of your pharmacological treatment.
You're completely bald or have lost all of your body hair.
If male, select No.
Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.
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.
Copyright © 2024 Cadham Pharmacy All Rights Reserved.
Created by Pharmacy Mentor
Register
Forgot password ?
Or Login Here
