Thrush Consultation Are you a female?
- Select - Yes No
Are you suffering with symptoms of either penile thrush or vaginal thrush?
- Select - Yes No
How long have you had these symptoms?
Are you suffering from either of the following:
- Select - Yes No
- Blood or coloured discharge
- A foul smell
Have you ever been diagnosed with any other medical conditions?
- Select - Yes No This can include:
-Immune system conditions such as HIV
-Liver or kidney issues
Please provide more details
Do you suffer with any allergies?
- Select - Yes No 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.
- Select - Yes No If so, please provide more information
Please provide more details
Is there any other information you would like to share with our prescribing team?
- Select - Yes No 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?
- Select - Yes No
- Select - Yes No
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