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2nd Floor, Akerman Health Centre
60 Patmos Road, London, SW9 6AF
Tel. 020 3582 0000
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Thrush Online Consultation

Please fill out the form below, and one of our doctors will contact you regarding the consultation:

Patient Information

Name: *
Date Of Birth: *
NHS Number (if known):
Address:
Postcode:
Contact Number: *
E-Mail Address: *

Consultation Information

1. Have you read information about your symptoms on Patient.info?

    It is advised that you read up about this condition and the related symptoms.

    Yes

    No

    2. Have you had thrush before which has gone with simple treatment?

      If you have not had thrush before or your thrush has only gone in the past with intensive treatment please see your regular doctor. We are unable to prescribe thrush treatment for you.

      Yes

      No

      3. Do you suffer from any of the following illnesses:

        		 Diabetes
        HIV
        Any other immunosuppressive diseases
        Renal Dialysis

        4. Have you had more than two thrush infections in the last six months?

          It is possible there is some underlying reason for you to get repeated thrush. Please see your regular doctor. We are unable to prescribe thrush treatment for you.

          Yes

          No

          5. Are you allergic to clotrimazole or miconazole or any other aniti-fungal cream?

            Please see your regular doctor. We are unable to prescribe thrush treatment for you.

            Yes

            No

            6. Have you or your partner had exposure to sexually transmitted disease?

              Your symptoms may be due to an infection other than thrush and it is best to see your regular doctor or a genito-urinary clinic. We are unable to prescribe thrush treatment for you.

              Yes

              No

              7. Have you got irregular or unexplained vaginal bleeding?

                your symptoms may be due to something other than thrush. Please see your regular doctor. We are unable to prescribe thrush treatment for you.

                Yes

                No

                8. Do you have sores, blisters or ulcers in the vaginal area?

                  It is unusual for thrush to cause open sore. Please see your regular doctor. We are unable to prescribe thrush treatment for you.

                  Yes

                  No

                  9. Are you aware thrush symptoms should go within 10 days of starting treatment?

                  • Thrush symptoms should go within 10 days of starting treatment
                  Thrush symptoms should go within 10 days of starting treatment. You can change your answer and continue.

                  Yes

                  No

                  10. Do all of the following apply to you?

                  • I will read the patient information leaflet supplied with my medication.
                  • The medication is for my own use. (Partners, spouses etc must log out, complete their own consultation and register separately)
                  The conditions must apply for you to be able to use this service.

                  Yes

                  No

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