Consultation - Faringdon Pharmacy

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Bacterial Vaginosis

Contraceptives

Emergency Contraception

Erectile Dysfunction

Hair Loss

Menopause

Period Delay

Premature Ejaculation

Urinary Tract Infection (UTI)

Vaginal Dryness

Weight Loss

Assessment for Psoriasis

Psoriasis

1 About Your Health

Question 1:What is your date of birth?

Question 2:What is your gender?

Question 3:Do you have any of the following medical conditions?

Question 4:Are you pregnant or breastfeeding?

Question 5:Do you take any regular medications, including immunosuppressants or corticosteroids?

Yes

Question 6:Do you have any known allergies to creams, steroids, or vitamin D analogues?

Yes

2 About Your Condition

Question 1:What symptoms are you experiencing?

Question 2:Have you been diagnosed with psoriasis by a healthcare professional?

Question 3:How long have you had these symptoms?

Question 4:Is this a flare-up of a previously diagnosed condition?

Question 5:Are any of the following present?

3 The Agreement and Consent

Question 1:Understanding of Risks and Treatment Use

Question 2:Consent to Treatment

Assessment Progress

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