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
  • Photo of your ID
  • Photo of your lab work results for the following tests: HIV, creatinine, hepatitis B, and hepatitis C

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?

How tall are you?

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 problems with your kidneys, urinary system or liver?

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

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

Are you pregnant or planning to become pregnant?

Are you currently breastfeeding?

Do you have any other health problems or conditions that you think we should know about?

PrEP

These questions let our doctor know how PrEP affects you

Have you ever been diagnosed with HIV?

Are you concerned you are at risk for HIV?

In the last 72 hours, have you been exposed to the semen, vaginal fluid, or blood from someone you know to be HIV positive or who may be HIV positive?

Do you think you may have been exposed to HIV within the last 30 days?

In the last year, have you been diagnosed with gonorrhea or chlamydia?

Have you ever been diagnosed with any of these conditions?

Syphilis

Hepatitis C

Hepatitis B

Uncontrolled diabetes

Kidney disease

Liver disease

None of the above

Please provide a scan of your lab work showing recent results for the following tests: HIV, creatinine, hepatitis B, and hepatitis C. Test results for syphilis, chlamydia, and gonorrhea are strongly recommended but not required.

Choose file

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