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November 26, 2019 / bymedical / 0

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Who is the medicine for?
What are the symptoms?
How long have you had the symptoms?
What action has already been taken?
Are you registered with a GP practice in the UK? Yes No
Do you believe you have the capacity to make decisions about your own healthcare? Yes No
Have you been diagnosed with any medical conditions? Yes No
Have you ever been diagnosed with a mental health condition? Yes No
Are you currently taking any medication? This includes prescription-only, over-the-counter and homeopathic medicines. Yes No
Do you suffer from any allergies? Yes No
What is your height?
Height?
What is your weight?
Weight? *
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