About your General Health To help us provide the right treatment or advice for you, please answer the following questions about your overall health. If you get stuck or need any help, you can contact us.
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Back Have you previously been diagnosed with acne by either a GP or dermatologist during or following a face to face consultation?
Which part(s) of your skin is affected by the acne?
How long have you been suffering with acne?
How does your acne present? (please select as many relevant options as possible)
Have you previously used any prescription treatments (including any topical retinoids) for your acne?
Have you ever been diagnosed with any other medical conditions? This can include:
-Immune system conditions such as HIV -Liver or kidney issues Are you currently pregnant, planning a pregnancy or breastfeeding?
Do you suffer with any allergies?
Do you currently take any medication? This includes herbal remedies and over the counter medication.
Is there any other information you would like to share with our prescribing team? If so, please provide more information
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