Your 2 minute consultation

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About you

Our doctors need to learn a little bit about you to help understand your condition.

What's your gender?

  • Male
  • Female

What's your date of birth?

What do you weigh?

How tall are you?

Do you live in the UK?

Your health

We need to check if anything in your medical history could affect your condition or treatment options.

Do you suffer from any heart conditions including angina and problems with heart rhythm?

Do you smoke?

To find out how we can help you stop smoking go to: https://www.drfelix.co.uk/treatment/stop-smoking/

Are you pregnant or planning to become pregnant or breastfeeding?

Do you have any known allergies?

Other than those already mentioned do you have any other significant medical conditions, illnesses or past surgical procedures?

Asthma Inhalers

These questions let our doctor know how asthma inhalers affects you.

What do you use an inhaler for?

How long have you used this inhaler?

When was the last time you reviewed your asthma treatment with your regular GP?

Are you taking any other inhalers, tablets or prescription medicine for your asthma?

Have you ever been hospitalised or had to visit A&E due to your asthma?

Which of the following triggers your asthma??

Exercise

Dust

Hay Fever

Being in the cold

Viral Infections i.e. cold or flu

Other triggers

Your consent

We need to check that you're aware, of and agree to a couple of things before choosing your medication.

It is important that your GP is informed of any asthma treatment you receive. Therefore, you must inform your GP of your treatment. Please confirm that you will do this.


I agree to the terms and conditions

You confirm that you are over 18 years old. The treatment ordered is for your own use. You will read the patient information leaflet supplied with the medication. You will contact Dr Felix and inform your GP if you experience any side effects from the treatment prescribed to you or if there are any changes in your circumstances. You have answered all questions truthfully and accurately to allow our doctors to provide you with a safe service as inaccurate information can be hazardous to your health. You have read, understand and agree to abide by the Dr Felix  terms and conditions.

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Don’t forget, only our qualified doctors see the answers you provide.