Hayfever - WePrescribe

Hayfever Consultation

Are you a female?

What is your D.O.B (dd/mm/yyyy)

Has a healthcare professional ever diagnosed you with allergic rhinitis (hayfever)

Which of the below symptoms do you experience with your hayfever?

Itching in your nostrils

The feeling of needing to clear your throat

Frequent sneezing

Nasal congestion or feeling blocked up

Running nose

None of these

Please indicate if any of the following apply to you?

- Any recent nasal surgery - Any head injury/nose injury in the last 4-6 weeks - Any nasal infections - Any current lung infection - Discharge from only one nostril

Have you ever previously been diagnosed with any other medical conditions?

This includes conditions such as - Asthma - Kidney disease - Liver disease - Eczema

Please provide more details

Do you suffer with any allergies?

If so, please provide more information

Please provide more details

Do you currently take any medication? This includes herbal remedies and over the counter medication.

If so, please provide more information

Please provide more details

Are you pregnant, planning a pregnancy or breast-feeding at the moment?

Is there any other information you would like to share with our prescribing team?

If so, please provide more information

Please provide more details

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

I have read and understood the Terms and Conditions.

Please see our terms and conditions here

Hayfever Consultation

Popular Treatments

Useful Links

Legal