Blue Pills

Is this medicine for you?*

Yes

Please enter your age*

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Are you pregnant or breast feeding?*

Yes

What symptoms are you treating with this medicine?

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Have you used this same medication within the last 4 weeks?*

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Do you take any other medicines?*

Yes

Do you take any medication or drugs (herbal or recreational)?*

Yes

Do you have any medical conditions?*

Yes

Please upload valid ID - driving licence, passport or national identity card*

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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 Onfido
You have answered all the above questions accurately and truthfully
You understand the pharmacist 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
You give permission to access your NHS Summary Care Record by our responsible pharmacist in order to identify you correctly, check your medical history and provide the best possible care

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