Your 2 minute consultation

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You'll need

Before you get started, it's a good idea to make sure you have the following information to hand:

  • Weight and height
  • Photo of your face
  • Blood pressure reading
  • Photo of your ID
  • Photo of your previous prescription or dosage label on the bottle

About you

Our doctors need to learn a little bit about you to help understand your condition.

What's your biological sex?

  • Male
  • Female

Cellphone number (mandatory)

e.g.5556661234. Please do not add +1. Enter only 10 digits, no spaces. * By entering your number, you agree to receive mobile messages related to your order.

What state do you live in?

What's your date of birth?

What do you weigh?

Use kg

How tall are you?

Use cm

Your health

We need to see if your medical history could affect the treatment options.

Do you smoke?

On average, how many units of alcohol do you drink in a week?

If you're not sure, you can calculate the number of units using our guide here: How many units of alcohol do I drink?

Do you suffer from any heart conditions including angina and problems with heart rhythm?

Are you pregnant or planning to become pregnant?

Are you currently breastfeeding?

Do you have any known allergies to any medications or substances?

Have you ever had tuberculosis (TB) affecting your lungs?

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

Are you currently taking any prescription-only medications, alternative medications or recreational drugs?

Asthma Inhalers

These questions let our doctor know how Asthma Inhalers affects you

Which inhalers do you use?

Which inhalers are you currently prescribed?

What do you use an inhaler for?

Asthma

Emphysema

COPD

Other

How often do you use your reliever inhaler?

Reliever inhalers are the inhalers you use during an asthma attack. They are also known as blue inhalers, Ventolin, Salamol, Albuterol or Salbutamol.

How long do your inhalers last before they need replacing?

Approximately, how long do you inhalers last? How regularly do you need to replace them?

How long have you been prescribed your reliever inhaler?

Reliever inhalers are the inhalers you use during an asthma attack. They are also known as blue inhalers, Ventolin, Salamol, Albuterol or Salbutamol.

Does your asthma wake you up at night?

How often do you experience asthma symptoms?

Asthma symptoms include: cough, wheeze, shortness of breath, chest tightness

When did you last have your asthma treatment reviewed?

Have you ever been prescribed pills or a steroid inhaler to help with your asthma?

Have you ever needed an emergency nebulizer for your asthma?

Have you ever been hospitalised or had to visit A&E due to your asthma?

Which of the following triggers your asthma?

Exercise

Dust

Hay Fever

Being in the cold

Viral infections i.e. cold or flu

Other triggers

Select all that apply

Do you feel your asthma is generally well-controlled?

If your asthma is well controlled, you would not experience asthma symptoms more than 3 times a week, night-time symptoms, or asthma attacks.

Do you feel confident about how to use your inhaler?

Please provide clear pictures of your previous prescription(s) or the prescription label(s) on the medication. This helps our physicians to complete the medical evaluation much faster and helps us offer better care

Choose file / Upload

I cannot provide an image at this time

You can place an order without providing images just now but please send these as soon as possible to avoid delays to your order. You can email these pictures to help@medzino.com or text them to (888) 772-2270 referencing your full name and your order number.

Is there any other information you would like to share with us, to help our doctors make an informed and a fair decision?

Your consent

We need to make sure that you are aware of and agree to some criteria before you choose your medicine.

I agree to the terms and conditions

  • I confirm I am 18 years old or above
  • I am using this service on my own behalf and of my own free will and any treatment or advice is for my sole use only
  • I understand my consultation will not be passed to the Medzino clinical team until I have successfully completed payment
  • I will read the patient information leaflet supplied with the medicine or obtain it from the Mezino website; especially the side effects and dosages.
  • I take responsibility to inform my own regular doctor of the online consultation or any changes in my circumstances.
  • I agree to the Medzino terms and conditions.
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(888) 772-2270

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