Cystitis & UTI

Please complete your confidential clinical assessment. Evaluated by GMC & GPhC registered healthcare professionals.

General health baseline, age eligibility and GP consent.

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Are you registered with a GP practice in the UK? *

Do you give us consent to inform your GP about this clinical supply? *

Sharing information with your GP ensures continuity of care.

Do you believe you have the mental capacity to make decisions regarding your medical care? *

Are you 18 years of age or older? *

Distinguishing uncomplicated lower urinary tract infection from upper UTI / pyelonephritis.

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Are you female and aged between 18 and 65? *

Do you have high fever, chills, rigors, or severe loin/kidney/back pain? *

Is there visible gross blood in your urine (haematuria)? *

Have you had more than 2 urinary infections in the last 6 months or 3 in the last 12 months? *

Safety screening for baseline medical conditions and drug interactions.

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Do you have any severe kidney failure, severe liver impairment, or unstable cardiovascular disease? *

Severe organ disease may affect drug clearance and safety.

Are you allergic to any active medications or excipients commonly used for Cystitis? *

Including active pharmaceutical ingredients or tablet excipients (e.g. lactose, gelatin).

Are you currently pregnant, planning to become pregnant, or breastfeeding? *

Legal and clinical confirmation before prescriber evaluation.

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Patient Statutory Agreement *

I understand and accept all terms of this Cystitis online clinical consultation. *

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