Non-Prescription Stop Smoking Archives - Online Chemist Shop

You have read the patient information leaflet provided in the further information link and confirm the medication is suitable for you and will follow the manufacturers instructions Yes No
Do you have any medical conditions Yes No
Do you take any medication or drugs (herbal or recreational). Yes No
Are you pregnant or breast feeding Yes No
Do you agree to the following? You have answered all the above questions accurately and truthfully. You understand our pharmacist's take your answers in good faith and base their decisions accordingly, and that incorrect information can be hazardous to your health. We need to ensure that this medicine is suitable for the person it is intended for. Therefore may be required to contact you by phone, If we are unable to speak to you when required your order may be delayed. You will seek medical advice if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment. Yes No
Why do you want to buy this online? I cannot get to my GP It is convenient I'm using more than my GP would allow I have lost my medication I need spare or extra medication
Would you like us to inform your GP about this order? Yes No
Terms & Conditions I confirm that I'm over 18 and I agree to the terms and condition

You have answered all the above questions accurately and truthfully. You understand our pharmacist's take your answers in good faith and base their decisions accordingly, and that incorrect information can be hazardous to your health.
We need to ensure that this medicine is suitable for the person it is intended for. Therefore may be required to contact you by phone, If we are unable to speak to you when required your order may be delayed.
You will seek medical advice if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment.

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