Our doctors would now like to check your suitability for this product

Important

This questionnaire forms the basis of your online consultation. Please be honest and if you are unsure about any of your answers, please verify the information with your GP before using the service:

I am 18 years old or above.
I am using this service on my own behalf and of my own free will. Any treatment or advice is for my sole use only.

I confirm the above statements are true

If you select delivery, parcels may be posted through your letterbox. Once the parcel has been delivered through the letterbox, Online Doctor is not liable for any loss, theft, or damage to the parcel. If you don’t want your order to be posted through your letterbox, you can choose ParcelShop or pharmacy collection.

Antibiotic resistance

Don't forget, antibiotic treatment can cause your body to develop resistance, so in the future antibiotics might not work so well. That's why it's important to use antibiotics only when they're needed
Mild cystitis often gets better without antibiotics. We'd advise you wait two days before starting antibiotics if your symptoms are mild

Worsening symptoms

Sometimes cystitis can become more serious
If you develop any new symptoms such as fever, shakes, severe back pain or are vomiting or if your current symptoms worsen, please get urgent medical advice through your GP, 111 or A&E

Your need

Your experience of cystitis

Has a doctor or nurse ever diagnosed you with cystitis or a UTI (urinary tract infection)?

Yes

Have you ever had cystitis that has spread to your kidneys or required you to attend hospital?

Yes

In the last twelve months, how many times have you been treated with antibiotics for cystitis?

Are you confident that you could recognise the symptoms of cystitis?

Yes

Consent

Contacting my GP

We are required to notify your GP of the outcome of this consultation. Unfortunately, you cannot use this service if you do not have a GP, or if you do not agree to this sharing of information.

Please provide us with your doctor's name and address

Find your GP by postcode

Informed consent

I have responded honestly and provided complete and accurate information that reflects my up to date medical history and information, so that the doctor can safely assess and advise me.
I fully understand all the questions and information provided. If I am unsure about any aspect of the service I will contact the Online Doctor before proceeding.
I understand the side effects, effectiveness and alternatives to the treatment I am requesting.
I understand this consultation will form part of my Online Doctor medical record and will be kept in line with the relevant retention period.
I have read, understand and agree to the latest terms and conditions and privacy policy.

I have responded honestly and provided complete and accurate information that reflects my up to date medical history and information, so that the doctor can safely assess and advise me.
I fully understand all the questions and information provided. If I am unsure about any aspect of the service I will contact Lloyds Online Doctor before proceeding.
I understand the side effects, effectiveness and alternatives to the treatment I am requesting.
I understand this consultation will form part of my Online Doctor medical record and will be kept in line with the relevant retention period.
I have read, understand and agree to the latest terms and conditions and privacy policy.