Prescription Pharmacy | Book Appointment

1. Are aged 15 or under, or aged 65 or over?

Yes No

2. Are pregnant or there is a chance you could be pregnant?

Yes No

3. Have a urinary catheter?

Yes No

4. Have had 2 or more UTIs in the last 6 months, or 3 or more UTIs in the last 12 months?

Yes No

1. Have flu-like symptoms?

Yes No

2. Have pain in your back under your ribs?

Yes No

3. Have nausea or vomiting?

Yes No

4. Have shaking chills or a temperature above 37.9°C?

Yes No

1. Have abnormal vaginal discharge?

Yes No

2. Are immunosuppressed?

Yes No

3. Are experiencing vaginal symptoms of menopause?

Yes No

4. Recently had a new sexual partner or change to your sexual habits?

Yes No

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