Your 2 minute consultation

0% complete

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?

Your health

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

What is your blood pressure?

If you have had your blood pressure taken recently, your GP practice should be able to let you know what your reading is. Otherwise, you may need to purchase a home blood pressure monitor (sphygmomanometer) or visit your GP to find out.

Do you have diabetes?

Do you have a history of migraines or severe headaches?

Do you suffer with any type of kidney or kidney disease? (e.g. chronic kidney disease)

Do you suffer with any liver conditions? (e.g. chronic hepatitis or cirrhosis of the liver)

Do you currently have any unusual or new lumps in your breasts?

When did you last have a cervical smear?

Have you had a mammogram within the last 5 years?

Do you have a family history of cancer of any type, especially cancer of the breast or ovary?

Have you ever had cancer of any type, especially cancer of the breast or female organs such as ovary, womb or cervix?

Have you or anyone in your family, had a history of blood clots in the legs or lungs or a bleeding or blood clot disorder of any kind?

Do you drink alcohol?

Do you smoke?

Have you had a hysterectomy (your womb removed)?

Do you have a Mirena Coil fitted?

Do you have any vaginal bleeding?

Are you currently taking any prescription-only medicines, alternative medicines or recreational drugs?

Do you have any known allergies to any medicine or substances?

Do you have any other health problems or conditions that you think we should know about?

Hormone Replacement Therapy (HRT)

These questions let our doctor know how hormone replacement therapy (hrt) affects you.

Are you currently taking HRT?

Which HRT are you taking?

How long have you been taking this particular HRT?

Who originally prescribed this HRT for you?

Do you have any side-effects from this HRT?

Have you ever taken any other HRT?

Your consent

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

We strongly advise that you inform your GP of any treatment you receive. Would you like us to do this on your behalf?

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.


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