Better Meds

Do you believe you have the capacity to make decisions about your own healthcare?

Yes

Have you been diagnosed with any medical conditions?

Yes

Please provide more information, including diagnosis, symptoms and treatment.

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

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:

Have you been diagnosed with genital herpes?

Yes

When was the diagnosis made (month/year)?

Why are you requesting this treatment?

A GP

A specialist

A sexual health clinic

Have you had 6 or more attacks/flare-ups of genital herpes in the last 12 months?

Yes

Have you been diagnosed with reduced immunity from any cause?

Yes

Have you read the patient information leaflet on cold sores and aciclovir?

Yes

Are you taking the medication probenecid?

Yes

Are you aware you should seek medical advice if sores are getting worse or are not healing after 10 days?

Yes

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