General medicine purchase questionnaire
Is this for yourself or someone else?*
Has the intended person used this medication before?*
Does the intended person have any existing or chronic health conditions? (please state it even if you don't believe it to be relevant)*
Does the intended person have any known allergies?
Is the intended person taking any other medications presently?*
What do you intend to use this medication for?*
Please note that once you submit the form, our pharmacist will review your answers and will either:
approve your purchase
call you to ask more questions or if unobtinable he/she may message or your email you (for the sake of promptness a phone call will always be our initial attempt)
reject your purchase and refund you
Our priority is customer safety
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