Your health and safety are our top priorities. To ensure we provide you with the most effective and appropriate treatment, it is crucial that you provide accurate and complete information about your health during our online consultation process. Accurate information helps us understand your condition better, assess any potential risks, and recommend the best possible medication for your needs. Providing false or incomplete information can lead to inappropriate treatment, potential health risks, and delays in receiving the care you need. Thank you for your cooperation and trust in our services.

0%


Male
Female
Transgender

If unknown, enter 'unsure'

I agree
I do not agree








Accurately describing your condition during our online consultation is essential for ensuring you receive the best possible care. Detailed and truthful information about your symptoms, their frequency, and their severity allows our healthcare professionals to make informed decisions about your treatment. Incomplete or incorrect descriptions can result in inappropriate medication, potential health risks, and delays in your care. Your honesty and thoroughness help us provide you with the most effective and safe treatment options. Thank you for your cooperation and trust in our services.

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Not Sure Yet
Safari
Coastal
Desert
Jungle
Rural (Countryside)
Urban (Town/City)

Visiting Friend Family
Pilgrimage
Medical Treatment/Dental Treatment
Long Term/Expatriate
Holiday
Health Worker
Diving
Cruise
Charity/Volunteer
Business/Work
Aid Work/ Emergency Response
Adventure/Gap Year/Backpackers

Not Decided Yet
Staying with Family/Friends
Hostel
Camping
Hotel

None of Above
Rheumatoid Arthritis
Impaired Immune System due to Cancer Treatment
Impaired Immune System due to HIV/AIDS
Blood Disorders (e.g. Sickle Cell Disease, Clotting or Bleeding Issues)
Liver or Kidney Problems
Neurological Illness (e.g. Epilepsy, Learning disability, Autism, Cerebral Palsy)
Diabetes/Respiratory(Breathing Problems), Heart Diseases (e.g. Atrial Fibrillation, Angina, Heart Failure,)



Please take the time to carefully read the Agreement and Consent statements during our online consultation process. Understanding these statements is essential for your safety and for ensuring that you are fully informed about the treatment you will receive. The Agreement and Consent sections outline important information about the risks, benefits, and responsibilities associated with your medication. By reading and agreeing to these terms, you help us ensure that you are aware of and comfortable with the treatment plan. Your informed consent is crucial for providing you with the best possible care. Thank you for your cooperation and trust in our services.

0%


No
Yes


No
Yes

No
Yes

No
Yes

No
Yes

Penicillin Allergy
Chloroquine
Systemic Latex Allergy Resulting in Anaphylaxis
Latex Allergy - Can not have plasters due to skin reactions
Egg Allergy
Not Allergic to Anything

No
Yes

No
Yes

NA
No
Yes

Yes - But records are not available
Not sure
No
Yes

None
Childhood Immunisation DTP & MMR
Flu Vaccination
Covid 19 Full Course
BCG - Tuberculosis
Rabies
Meningitis ACYW
Tickborne Encephalitis
Yellow fever
Japanese Encephalitis
Cholera
Typhoid
Hepatitis B
Hepatitis A

I just need Antimalarial Tablets
I just need MengitisACWY Vaccine & Certificate
I just need Yellow Fever Vaccine & Certificate
I just need a Booster Vaccination
I need consultation and vaccination/medicine for my travel
I have the list of vaccine(s) which I need for my travel

I agree
I do not agree