01493668097
Your Chemists

Office Address

Gorleston Pharmacy, 8 Lowestoft Road, Gorleston, NR31 6LY

Phone Number

01493668097

Email Address

mansour.dadkhah@nhs.net

Information

Company Registration: 7448961 Premises GPhC Number: 1035247 Superintendent: Mansour Dadkhah (2060377)

STI tests

We offer testing kits you can take at home for a range of sexually transmitted infections (STIs) including chlamydia, gonorrhoea, trichomonas, syphilis and HIV.

  • Lesions
  • Consent
Our doctors would now like to check your suitability for this product

About your lesion(s)

When did the lesion(s) first appear?

Have the lesion(s) changed at all since first noticed?

Is/are the lesion(s) painful?

**If you have chosen ‘really painful’ please do not delay going to see your doctor**

Have you had the lesion(s) before?

Are you worried these lesion(s) maybe caused by a specific medical condition?

Have you ever been diagnosed with a skin condition?

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

We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

I confirm that the photograph(s) indicate(s) my own anatomy.

I understand that use of this service does not guarantee a diagnosis.

I understand that while the online doctor will make all reasonable efforts to assess my photograph(s), if an online doctor deems the picture quality to be poor or if they are unable to make a diagnosis, I will receive signposting advice to appropriate services and a full refund if I have paid for the service.

I confirm the above statements are true Providing such use renders the photograph(s) completely anonymous, I give my permission to the online doctor to use the photograph(s) for training, teaching, research or commercial purposes. This would include use on Online Doctor and associated partner websites.

I confirm the above statements are true One of our doctors may contact you via your patient record in the next month so we can check the advice we give you is accurate and useful. We hope you find this helpful.

--I have responded honestly and provided complete and accurate information that reflects my up to date medical history and information, so that the doctor can safely assess and advise me.
--I fully understand all the questions and information provided. If I am unsure about any aspect of the service I will contact Your Chemist Online Doctor before proceeding.
--I understand the side effects, effectiveness and alternatives to the treatment I am requesting.
--I understand the importance of notifying my GP about medicines and advice I may receive from this service so they can continue to provide safe medical care.
--I understand this consultation will form part of my Online Doctor medical record and will be kept in line with the relevant retention period.
--I have read, understand and agree to the latest terms and conditions and privacy policy.
--If I have further questions in relation to my sexual health or wellbeing, I will contact my GP or healthcare professional.

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