💡 Help: This includes over-the-counter medicine

💡 Help: I have been informed about the potential side effects and interactions of the prescribed medication for Menopause.

I declare that I have answered all questions truthfully and to the best of my knowledge.
I will read the Patient Information Leaflet before taking any prescribed medication.
I will contact Chesterfield Delivery Pharmacy and inform my GP if I experience any side effects, start new medication, or if my medical conditions change during treatment.
I understand that prescribers take my answers in good faith and base prescribing decisions accordingly, and that incorrect information can be hazardous to my health.
I understand that this questionnaire forms part of a request to the prescriber, and that the final decision to prescribe rests with the prescriber.
I consent to this consultation being used to assess my suitability for treatment.
I understand that my medication may require cold storage and careful handling.
I agree to the stated delivery terms and understand that medicines will be dispatched in line with storage and safety requirements.
I agree to be contacted for a follow-up video call if required.
I understand that I will only be charged if my consultation is approved and a prescription is issued.
I understand that the clinician may access my NHS Summary Care Record to support safe prescribing, including information about my medications, allergies, and adverse reactions.