Are you aged between 18 and 65 ordering for yourself?

Yes No

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Why do you require Tamiflu?

to treat current flu outbreak/symptoms
for the future need

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Which of the following flu symptoms are you experiencing? Please tick ALL the symptoms you have:

fever (over 37.8 C)
cough
runny or stuffy nose
headache
muscle ache
extreme tiredness
I am not suffering from flu symptoms

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Are you allergic to Tamiflu (Oseltamivir) or any other medication?

Yes No

Can you please provide more details?

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Are you pregnant or breastfeeding or planning to get pregnant or start breastfeeding in the next 6 months?

Yes No

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Do you suffer from any of the following?

Yes No

kidney problems or diseases;
asthma or any respiratory disease;
neurological disease;
immune system not working properly;
chronic heart disease ;
any other chronic condition that we should know about;

Can you please provide more details?

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Are you taking any of the following?

Yes No

chlorpropamide (for diabetes);
methotrexate (for rheumatoid arthritis);
phenylbutazone (for pain and inflammation);
probenecid (for gout);

Please provide the name, dosage and the reason why you are taking that medication or medications.

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Are you currently taking any other medication (including over the counter, prescription or recreational drugs)?

Yes No

Please provide the name, dosage and the reason why you are taking that medication or medications.

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Do you understand that Tamiflu is not a substitute for the flu vaccine?

Yes No

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Do you understand that you must seek medical attention, if after taking Tamiflu, your symptoms do not improve after a few days or if you experience changes in your mood or behaviour?

Yes No

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Are you aware of the following?

Yes No

Tamiflu can be taken to treat flu but has only been proven to be effective if taken within 48 hours of experiencing flu symptoms;
Tamiflu can be taken for preventing flu if you have been in contact with someone who has flu;
Tamiflu can be taken for up to 6 weeks to prevent seasonal outbreaks of the flu;

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Do you agree to the following?

Yes No

you have answered truthfully to all the questions and you are aware that any incorrect information you provided can present a potential danger to your health;
you will inform your doctor about any unusual side effects;
the treatment is solely for your own use;
you will read the patient information leaflet supplied with your medication;
you will not exceed the maximum daily dose of this medication ;

We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

0207 867 3932

email help@clickpharmacy.co.uk.

Please tick the boxes to confirm the following:

I confirm that I am over 18 and I agree to the Terms and Conditions and the Privacy Policy.

You must accept the terms and conditions to continue!

Medical Assessment