💡 Help: Please note this treatment is only suitable for the person completing the consultation

💡 Help: Select all that apply

💡 Help: If bleeding lasts more than two to four weeks, you should see your GP

💡 Help: Select all that apply

💡 Help: Select all that apply

💡 Help: Choose Option

💡 Help: If you are male select "Not Applicable"

💡 Help: - The information I have provided in this assessment is accurate and complete to the best of my knowledge, and I understand that providing false information may result in my order being cancelled and could have serious health implications.
- I understand that acne treatments can cause side effects, most commonly skin dryness, redness, irritation, peeling and increased sun sensitivity with topical products, and stomach upset or photosensitivity with oral antibiotics. I have read the product information and understand how to use the treatment correctly
- I understand that if my acne does not improve within 8-12 weeks, worsens significantly, or I experience any severe side effects, I should stop treatment and contact a healthcare professional.
- I consent to my personal and medical information being used by Chesterfield Delivery Pharmacy clinical team to assess my suitability for treatment. My information will be kept confidential and used solely for this assessment.