Do you agree and consent to the following?

  1. You are completing this consultation for yourself and to the best of your knowledge.
  2. You will disclose any medical conditions, serious illnesses or operations you have had.
  3. You will disclose any prescription medications you are currently taking and agree to use only one weight loss treatment at a time.
  4. You agree to our Terms & Conditions, Terms of Sale, and confirm that you have read our Privacy Policy.
  5. Your accurate and honest responses to this online questionnaire for weight loss treatment are crucial. Withholding or providing false information can severely harm your health and may result in life-threatening consequences. By filling out this questionnaire, you confirm that your responses are truthful and accurate, acknowledging the potential risks of misinformation.
  6. You agree to undergo identification and age verification. This may require submitting valid documents to our approved third-party verification partner for validation.
  7. You consent to EveryDayMeds accessing your Summary Care Record (SCR) for the purpose of ensuring the safe supply of treatment. If the SCR is unavailable or incomplete, you agree to participate in appropriate two-way communication (e.g. phone, secure message, or video consultation) to verify your medical history. If you do not respond or engage, your order will be cancelled.

Your Health

  • Adapalene
  • Benzoyl Peroxide
  • Propylene Glycol

Medical Condition

Medication

Agreement

  • I will read the patient information leaflet that comes with my medication before starting treatment.
  • I will inform my GP and this service if I experience any side effects, start any new medications, or if my health condition changes during treatment.
  • I confirm this treatment is for my personal use only and I will not share it with anyone else.
  • I have answered all consultation questions truthfully and to the best of my knowledge.
  • I understand that inaccurate or incomplete answers may affect the safety and suitability of my treatment.
  • I understand that the prescriber will make a final decision based on my responses. Their decision is made in good faith and with my safety as the priority.
  • Avoid direct sunlight and sunbeds.
  • Use SPF and wear protective clothing outdoors.
  • Do not apply acne medication to sunburned skin.
  • This may include redness, dryness, or peeling.
  • You may reduce application frequency, moisturise, or pause treatment briefly if needed.
  • Severe or ongoing irritation should be discussed with your GP or our clinical team.
  • The eyes, mouth, broken skin, mucous membranes (e.g. lips or nose), or sunburn.
  • If accidental contact occurs, rinse thoroughly and seek medical advice.

GP Consultation

We can notify your GP of your treatment for you. To do so, we need their contact information. Sharing this information allows your GP to maintain a comprehensive record of your medical history, which is crucial for your health. Without complete records, there could be potential risks to your well-being.