Prescription Pharmacy | Book Appointment

1. Is under the age of 12 years?

Yes No

2. Is immunosuppressed?

Yes No

3. Has chronic sinusitis (symptoms lasting for more than 12 weeks)?

Yes No

4. Is under the age of 16 years and is pregnant, or there is a chance they might be pregnant?

Yes No

1. Has reduced vision?

Yes No

2. Has other conditions relating to the eye area or eye(s)?

Yes No

3. Has swelling of the forehead?

Yes No

4. Has a severe headache?

Yes No

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