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

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

Why do you need emergency contraception?

Missed pill

Condom broke/split

Recent sex without contraception

Other

Please provide more information.

Are you currently taking the pill or any other form of contraception?

Yes

Which contraceptive pill are you taking?

What date and time did you have unprotected sex?

Since your last period, did you have any other unprotected sex or condom failures?

Yes

Have you ever taken an emergency contraception before?

Yes

Did you have any side effects from taking the emergency contraception?

Yes

Have you taken an emergency contraception since your last period?

Yes

When did you take the emergency contraception? When was your last period?

Do you suffer from any liver-related problems?

Yes

Please provide details (including any medications taken)

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