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Our Treatments
Hair Loss
Dental
Erectile Dysfunction
Premature Ejaculation
Period Delay
Weight Management
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Our Treatments
Hair Loss
Dental
Erectile Dysfunction
Premature Ejaculation
Period Delay
Weight Management
About
Get in Touch
£
0.00
0
Cart
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Our Treatments
Dental Treatment
Erectile Dysfunction Treatment
Hair Loss Treatment
Premature Ejaculation
Weight Management Treatment
Period Delay Treatment
Our Treatments
Dental Treatment
Erectile Dysfunction Treatment
Hair Loss Treatment
Premature Ejaculation
Weight Management Treatment
Period Delay Treatment
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FAQ
About
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Genital Herpes & Cold Sores
- tell us about your condition
Processing your request...
Intro
Medical
Closingg
What is your gender
Male
Female
Other
Do you believe that you have the capacity to make decisions about your own healthcare?
Yes
No
Sorry we can't offer you this treatment, please contact your GP
Have you been diagnosed with any medical conditions?
Yes
No
Please provide more detail.
Are you currently taking any medication? This includes prescription-only, over-the-counter and homeopathic medicines.
Yes
No
Please provide more detail.
Do you suffer from any allergies?
Yes
No
Please provide details including which allergies and what symptoms you experience.
Is there anything else you would like to include to allow our prescriber to prescribe responsibly?
Yes
No
Please provide more detail.
Are you aged between 18-65 years old?
Yes
No
Please confirm your age
Have you been diagnosed with Genital Herpes (HSV-1 or HSV-2) by your GP or GUM clinic?
Yes
No
Why are you requesting this treatment?
We recommend that you consult your GP or local GUM clinic if you have not done so already.
Do you have an allergy (hypersensitivity) to this medication?
Yes
No
Please provide more details
Are you breastfeeding or pregnant or possibly pregnant?
Yes
No
Please provide more details
Have you been diagnosed with any of the following?
Liver problems
Kidney problems
Immunodeficiency conditions (eg. HIV)
Nervous system abnormalities
Any serious medical condition which may require immediate hospitalisation
Yes
No
Please provide more details
Liver problems
Kidney problems
Immunodeficiency conditions (eg. HIV)
Nervous system abnormalities
Any serious medical condition which may require immediate hospitalisation
Do you understand that you should drink water regularly during treatment to reduce any possible effects on kidneys or your nervous system?
Confirm
Do you understand that you should maintain genital hygiene and avoid sexual contact during your outbreak?
Confirm
Are you aware you should seek medical advice if sores are getting worse or are not healing after 10 days?
Confirm
Would you like us to notify your GP of the treatment you chose to order today?
Yes
No
GP Practice Name, GP Postcode, GP Telephone Number
GP Information
Please provide your GP surgery details.
Consent & Declarations
I confirm that my answers are true and accurate and that I have read and agree to the Terms and Conditions and Privacy Policy.
Its required to fill all details.
Do you agree to the following:
You understand the prescriber will take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
You are aware you will be subject to a soft check to validate your identity via LexisNexis.
You will read the Patient Information Leaflet supplied with your medication
You agree to Cloud Pharmacy terms and conditions and privacy policy.
The treatment is solely for your own use
You have answered all the above questions accurately and truthfully
You will inform your GP of this purchase if appropriate
Yes
No
Sorry we can't offer you this treatment, please contact your GP.
Submit Assessment
Please complete all required questions.
