Requests for Antihistamine

 
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All questions marked with a * are mandatory

If the doctor is able to issue a prescription for you

  • This will be sent to your usual pharmacy within 72 hours.
  • Please complete all questions so that we can safely process your request.
A Pharmacist can issue antihistamines and many other medications without the need to see a GP. Have you consulted with the pharmacy?: *
E.g. hayfever, rash/itch, allergy etc.
Are you pregnant or breast-feeding?: *
Do you have epilepsy?: *
Do you have liver problems?: *
Do you have kidney disease?: *
  
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Personal Details
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Do you consent to being contacted by the Practice by text?: *
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