Consultation

Consultation

About You


 

Please provide your weight.

 
 

 

Please provide your height.

 
 

 
Do you smoke or drink?


Do you take any medication whether prescribed, over the counter, herbal/alternative or partake in any recreational drug use?

Do you have any allergies?


Have you been advised to avoid strenuous exercise?

Are you able to walk 3 miles or climb a set of stairs without pain in your chest?

Do you have any history of symptoms of anxiety or depression?

 

About your symptoms

Have you had your migraines diagnosed by a doctor?

Have your migraines changed since you last saw your doctor?





Do you experience migraines for more than 10 days of the month?

Do your migraines last less than 4 hours without treatment or last longer than 24 hours?

Do your migraines follow a broadly similar pattern each time they occur?



Do you have any known allergies, including to medications such as Sumatriptan, Rizatriptan, Zolmitriptan or Almotriptan?

Are you currently taking any antidepressants such as MAOI's or SSRI's or recently finished taking an antidepressant in the last 2 weeks?

 
 

GP Details

Would you like us to inform your GP of your treatment?
 
We recommend informing your GP surgery of any treatment that you are taking to keep your medical records relevant and up to date

 

Agreement

Do you agree to the following?
  • You have answered all of the above questions accurately and truthfully. You understand our prescriber(s) will prescribe medication based on your responses and interactions with Quick Meds. Any incorrect responses or deliberate acts to misinform may be hazardous to your health.
  • You agree to the terms and conditions, privacy policy and terms of use.
  • You will familiarise yourself with the patient information leaflet included with your order and any other information relayed to you via other means including IM/E-mail/telephone.
  • You will contact us and inform your GP if you experience any side effects to treatment, if there are any changes to your medical history including starting any new medications or new diagnoses, or if your symptoms/medical conditions change in any way.
  • You understand completing a purchase does not guarantee supply of treatment; the final decision to prescribe lies with the prescriber with your best interests, health and appropriateness in mind.
  • You agree to the terms and conditions, privacy policy and terms of use.