01953 550169
info@medpro-clinic.co.uk

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Unit 1 Oaktree Business Park, Philip Ford Way, Wymondham, NR18 9AQ
01953 550169
info@medpro-clinic.co.uk

General Health

A healthy lifestyle will make your heart and every other organ in your body healthier. Tips for a healthy body include: stop smoking, exercise, watch your weight, eat healthy foods, reduce alcohol consumption, and many more! Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.

About the Condition and Treatment

To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

0%

Are you the actual consumer of this medicine?
If not, please describe in detail who the intended consumer is and how old he/she is.

Yes

No

On which part of the body will this product be used?

For which duration has the consumer of this medicing experienced these symptoms?
Hello

Can you relate to any of the following?
You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have cardiovascular conditions or might have had suffered a stroke
You suffer from a low liver or kidney function

Yes

No

What is your biological gender?
Please select your option

Male

Female

Transmale (Born a female)

Transfemale (Born a male)

Has the target user tried a different medicine to address the symptoms before?
If yes, what medicine was consumed and how effective was it?

Yes

No

Can you relate to the following?
You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have a cardiovascular condition or have suffered a stroke
You suffer from a low liver or kidney function

Yes

No

Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.

Yes

No

If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option

Presently Pregnant

Presently Breastfeeding

Planning on getting pregnant

Neither Pregnant nor Breastfeeding

What's your gender?

Male

Female

Transmale (Born a female)

Transfemale (Born a male)

Are you aware that we can only provide one pseudoephendrine product per order?
Pseudoephedrine is found in over-the-counter drugs such as:
Combo of Actifed Day and Night Nurses
Sudafed Sinus Pressure & Pain pills and Sudafed Sinus Pressure & Pain tablets
Multiple items from this list will be retained and refunded in one order.

Yes

No

For how long has the consumer of this medicing experienced these symptoms?
Please select your option

At least 72 hours

A week

A month

More than a month

What symptoms do you intend to treat using this medicine?
Please provide more information

Are you experiencing any of the following problems?
Anaemia.
Deficiency in glucose-6-phosphate dehydrogenase.
Methaemoglobinaemia.
Atopic dermatitis is a type of dermatitis that affects the skin.

Yes

No

About

MedPro Pharmacy & Clinic is an independent pharmacy based in Wymondham. We aim to provide a speedy, safe and reliable dispensing service to our patients, both locally and nationally.

How to check GPhC registration

Please visit the relevant websites at the links below for information about how to check the registration status of the pharmacy and the superintendent pharmacist.

Unit 1 Oaktree Business Park, Philip Ford Way, Wymondham, NR18 9AQ
01953 550169
info@medpro-clinic.co.uk

Emergency Supply

About Us
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Bookings

GPhC registration number:
9011939

GPhC registered owner:
Chung Yan Szeto (GPhc No: 2214483)

Superintendent pharmacist:
Chung Yan Szeto (GPhc No: 2214483)

GPhC pharmacy details:
MedPro Clinic Unit 1 Oaktree Business Park, Philip Ford Way, Wymondham NR18 9AQ

Owner Details:
Velvet Healthcare Ltd
Company Number 13909499
Registered Address: 2 Velvet Close, Wymondham NR18 9FX

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