Are you currently going through menopause?
Can you let us know why do you require hormone replacement therapy?
For further information kindly contact our patient support team:
0207 867 3932
email help@clickpharmacy.co.uk.
Which symptoms of menopause do you suffer from?
When was your last period?
Have you ever been prescribed hormone replacement therapy?
Please provide the name, dosage and when were you lastly prescribed that medication.
Have you had your womb (uterus) removed, also known as hysterectomy?
Are you using any additional progesterone such as Utrogestan, Provera, Norethisterone or do you have a Mirena coil in place.
Please provide more information. If you have a Mirena coil, when was this fitted?
If you have not undergone a womb removal (hysterectomy), progesterone is necessary to protect the endometrial lining and prevent hyperplasia. Would you like us to contact you to discuss further?
Do you agree to undergo the following checks regularly
Are you a smoker?
What was your most recent blood pressure reading?
What is your ethnicity?
Please state your height and weight:
Are you allergic to any medicines or other substances?
Can you please provide more details?
Does any of the following apply to you?
Are you taking any medication (prescription or over the counter)
Please provide the name, dosage and the reason why you are taking that medication or medications
Do you agree to the following?
Please tick the boxes to confirm the following:
Order before 15:00pm (Monday to Friday) for next day delivery