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)

Jet lag

Whether you are travelling for work or a holiday, jet lag can cause sleepless nights and make you tired during the day. We can prescribe treatment to help your sleep patterns adjust more quickly, so you can make the most of your trip. Jet lag tablets can be delivered to your chosen address or collected from your local ParcelShop.

  • Trip
  • Medicines
  • Health
  • Consent
Our doctors would now like to check your suitability for this product

Travel destination

Country you are travelling to

What is the usual time difference between the UK and the country you are flying to?

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.

Current and recent use of medicines Are you taking any prescription-only medicines, over-the-counter medicines, alternative medicines or recreational drugs?

In the last two months have you taken any medicine, including both prescription and non-prescription medicines, other than any medicine you have mentioned above?

Allergies

Are you allergic to any of the following? Please select all that apply.

Do you have any other known allergies?

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.

Your medical history

Have you ever been diagnosed with a liver condition?

Have you ever been diagnosed with a kidney condition?

Have you ever had a serious brain injury, been diagnosed with epilepsy or suffer from seizures?

Have you ever been diagnosed with an autoimmune condition?

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

Pregnancy and breastfeeding

How do I know if I\'m pregnant?

Are you breastfeeding?

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.

Informed consent

I confirm the above statements are true --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 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

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