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Medical Assessment for Acne Care Treatments

Complete this short online consultation so our medical team can show you suitable treatments.

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Tell us about yourself
Are you aged 18 or over? (You must be at least 18 years old to complete this medical consultation and receive treatment)
How would you describe your acne symptoms? (This helps our pharmacist recommend the most suitable treatment for your skin type and severity)
Your Health Information
Do you have any known allergies to the following ingredients? Please tell us if you are allergic to any of these substances commonly found in acne treatments.

Ingredients:

  • Adapalene
  • Benzoyl Peroxide
  • Propylene Glycol
Are you female and aged between 18 and 55? This information helps our pharmacist determine whether the treatment is suitable for you.
Are you pregnant, planning to become pregnant, or currently breastfeeding? Some acne medicines are not suitable during pregnancy or while breastfeeding. This information helps our pharmacist ensure your treatment is safe for you and your baby.
Have you ever been diagnosed with an inflammatory bowel condition? For example, Ulcerative Colitis, Crohn’s disease, or any other type of Colitis.
Your Current Medication
Are you currently taking any oral antibiotics? This helps our pharmacist ensure your acne treatment is safe to use alongside other medications.
Are you currently using any other treatments for acne? This helps our pharmacist check that your new treatment is safe to use alongside any existing creams, gels, or oral medicines.
Patient Declaration & Agreements
Do you agree to the following? Please read each statement carefully before confirming. This ensures you understand how your treatment will be supplied and used safely.
☑️ I will read the Patient Information Leaflet provided with my medication before use.

☑️ I will contact ifeelshy and inform my GP immediately if I experience any side effects, start a new medication, or if my medical conditions change during treatment.

☑️ I understand that the treatment is for my personal use only and will not be shared with anyone else.

☑️ I confirm that I have answered all questions accurately and truthfully to the best of my knowledge.

☑️ I understand that the prescriber relies on my answers in good faith, and that providing incorrect or incomplete information could affect my health.

☑️ I understand that while treatment decisions are made jointly between myself and the prescriber, the final decision to issue a prescription rests with the prescriber.

 

Do you understand that if your acne worsens or you notice scarring, you should see your GP for assessment? This ensures you receive timely care if your condition changes.
Do you understand that some topical acne treatments can increase sensitivity to sunlight (photosensitivity)? While using these products, you should: • Avoid direct sunlight and sunlamps where possible. • Use a broad-spectrum sunscreen and protective clothing if you must be in the sun. • Do not apply acne treatments to sunburned skin.
Do you understand that your treatment should be applied once daily, after washing your face with a mild cleanser and gently drying the skin?
Do you understand that this treatment should not come into contact with your eyes, mouth, inside of the nose, or any broken, irritated, or sunburned skin? If contact occurs by accident, rinse the area thoroughly with water. If irritation continues, seek advice from your GP or pharmacist.