Better Meds

Are you currently taking any medication? This includes prescription-only, over-the-counter and homeopathic medicines.

Yes

Which medication, what strength and how often are you taking it?

Do you suffer from any allergies?

Yes

Not Sure

What allergies do you have and what are the symptoms you experience from an allergic reaction?

Is there anything else you would like to include for the prescriber?

Yes

Please provide further information:

How long have you been suffering from acne?

What is your skin type/tone? (e.g. oily, dry, sensitive, combination)

Which areas of your skin are affected by acne?

How does the acne manifest itself?

Whiteheads

Blackheads

Nodules

Papules

Pustules

Cysts

Does your skin scar when healing?

Yes

Do you suffer from any other skin conditions such as eczema, psoriasis, rosacea, couperose dermatitis or cutaneous epithelioma?

Yes

Please provide more information on your other skin condition(s).

Do you have a history of ulcerative colitis or severe enteritis or colitis?

Yes

Please provide more information on your enteritis/colitis.

Are you currently taking any medication to treat your acne?

Yes

What are you currently using to treat your acne?

Are you pregnant, breastfeeding or trying to conceive?

Yes

Do you suffer from irregular periods and/or excess facial or body hair growth?

Yes

Please provide more information.

Do you agree to the following?

You agree to our terms and conditions, privacy policy and acceptable use policy
You will read the Patient Information Leaflet supplied with your medication
The treatment is solely for your own use
You are aware you will be subject to a soft check to validate your identity via Yoti
You have answered all the above questions accurately and truthfully
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 inform your GP of this purchase if appropriate

Yes