Eczema & Dermatitis Prescription

Start Your Consultation

Please enter your email and phone number to continue.

I agree to receive consultation updates by SMS

Do you agree and consent to the following?

You are completing this consultation for yourself and to the best of your knowledge.
You will disclose any medical conditions, serious illnesses or operations you have had.
You will disclose any prescription medications you are currently taking and agree to use only one weight loss treatment at a time.
You agree to our Terms & Conditions, Terms of Sale, and confirm that you have read our Privacy Policy.
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.
You agree to undergo identification and age verification. This may require submitting valid documents to our approved third-party verification partner for validation.
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

Are you aged 18 years or over?

Yes No

Are you currently experiencing symptoms of eczema or dermatitis?

Dry, cracked, or scaly skin
Itching
Redness
Raised bumps
Oozing or thickened skin

Yes No

Have you been diagnosed with eczema or dermatitis by a healthcare professional?

Yes No

Is this your first episode of eczema or dermatitis?

Yes No

Are you currently experiencing a flare-up of your symptoms?

Yes No

Is this flare-up worse or different to previous flare-ups?

Yes No

Have you used any of the following treatments before?

Hydrocortisone
Betamethasone
Clobetasone
Mometasone
Fusidic Acid
Fucibet

Yes No

Are you allergic or hypersensitive to any of the following:

Hydrocortisone
Fusidic Acid
Cetostearyl Alcohol
Chlorocresol

Yes No

Are you pregnant or breastfeeding?

Yes No

Which area of the body would you like to treat?

Sensitive Skin Areas (e.g., face, skin folds, groin) Scalp Trunk and Limbs (arms, legs, torso)

Upload a Photo of Your Skin Condition

Please upload a clear photo of the affected area.

This helps our clinical team assess your condition and ensure the most appropriate treatment is recommended.

✅ Make sure the photo is:

Well-lit and in focus
Clearly shows the affected area
Not blurry or obstructed
Taken within the last 7 days

📎 Accepted formats: JPG, PNG, HEIC

📏 Max size: 10MB

Your photo is kept strictly confidential and used only by our medical team for clinical assessment.

Medical Condition

Do you have any liver or kidney problems?

Yes No

Medication

Are you taking any of the following medications?

Itraconazole
Ritonavir or other protease inhibitors
Oral, nasal or high-dose inhaled steroids

Yes No

Agreement

Do you understand that this treatment is only for eczema/dermatitis and should not be used for the following conditions?

Acne
Rosacea
Perioral Dermatitis
Genital/Anal itching
Skin thinning
Malignant lesions
Open or infected wounds

Yes No

Do you understand the following?

You should always use emollients for moisturising
Contact your GP if symptoms worsen or persist after 7 days
Do not use on large areas for more than 14 days unless advised
Avoid eyes
Apply steroids thinly, as per leaflet

Yes No

Do you agree to the following?

You will read the patient leaflet
You are 18 or older
You answered truthfully
You consent to clinical record review if needed
This treatment is only for you
You will notify your GP
You will contact us or GP if you start other meds or have side effects
You have capacity to consent

Yes No

Do you give permission for us to contact your GP for medical records if required?

Yes No

Do you consent to us sharing relevant consultation details with your GP to ensure safe and continuous care?

Yes No

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.

I consent to EveryDayMeds contacting my GP and share information about my prescription.

Yes No

Practice/GP Name

Practice/GP Address

Identity Verification

Please upload your identification documents.

Would you like to upload documents now?

Upload now Upload later

What you need to upload

To safely prescribe weight-loss medication, our clinicians need to verify your identity and assess your eligibility. Please upload both of the following:

Photo ID

Upload a clear photo of one valid ID document, such as:

Passport
UK driving licence
National ID card

Requirements:

The full document must be visible
Text and photo must be clear and readable
The ID must be valid (not expired)

🪪

Tap to upload ID card

No file chosen

Full-Body Photo

Take a full-body photo of yourself using your camera.

Photo guidelines:

Full body visible (head to feet)
Wear fitted clothing (no coats or baggy clothes)
Stand straight, facing the camera
No filters or edits

This photo is used only to help our clinicians assess your BMI and suitability for treatment.

📸

Take photo using camera

Camera required

Upload Previous Prescription

📄

Upload previous prescription

No file chosen

If you select this option, your order won’t be approved until all required documents are submitted. After your consultation, we’ll email you instructions on how to upload your documents.