Heavy Periods

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? *

Evaluation of heavy bleeding symptoms and antifibrinolytic safety.

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Do you have regular menstrual cycles with bleeding that soaks through pads/tampons every 1-2 hours or passes large clots? *

Do you or an immediate family member have a personal or family history of thromboembolic disease (DVT, PE)? *

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 Heavy Periods? *

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 Heavy Periods online clinical consultation. *

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