• Vaccination
  • Health
  • Medicines
Our doctors would now like to check your suitability for this product

How did you hear about us?

Previous vaccination against hepatitis B

Have you ever received any vaccines against hepatitis B?


We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

Your medical history

Have you ever been diagnosed with a liver condition?

Do you have any condition that suppresses your immune system?

Do you have a bleeding or clotting disorder?

Other than those already mentioned, do you have any other significant medical conditions, illnesses or past surgical procedures?


Pregnancy and breastfeeding

How do I know if I\'m pregnant?

Are you breastfeeding?


We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

Current and recent use of medicines

Are you taking any prescription-only medicines, over-the-counter medicines, alternative medicines or recreational drugs?

In the last two months have you taken any medicine, including both prescription and non-prescription medicines, other than any medicine you have mentioned above?


Allergies

Are you allergic to any of the following? Please select all that apply.

Do you have any other known allergies?


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