Rosacea 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 or over?

Yes No

Have you been diagnosed with rosacea by a healthcare professional?

Yes No

Are you experiencing any of the following symptoms?

Persistent facial redness or flushing
Small red bumps or pustules on your face
Visible blood vessels on the skin (e.g. cheeks or nose)
Thickened skin, particularly around the nose
Eye symptoms like irritation, dryness, or redness
A burning or stinging sensation on the face

Yes No

Please upload a clear image of the affected area of your skin. (Optional)

Are you currently experiencing any of the following skin conditions on your face?

Eczema
Psoriasis
Broken or open skin
Severe irritation or swelling

Yes No

Are you pregnant, planning to become pregnant, or breastfeeding?

Yes No

Medical Condition

Do you have any of the following medical conditions?

Liver or kidney problems
Heart conditions
Eye conditions (e.g. glaucoma)
Epilepsy or seizures
Immune system suppression
Any serious long-term illness

Yes No

Are you allergic to or have you reacted badly to any of the following?

Brimonidine (Mirvaso)
Metronidazole (Rozex, Metrogel)
Azelaic acid (Finacea)
Ivermectin (Soolantra)
Tetracyclines (e.g. Doxycycline, Efracea)

Yes No

Have you experienced side effects from rosacea treatment in the past?

Yes No

If yes, please describe:

Medication

Are you currently taking any medications (prescription, over-the-counter, or herbal)?

Yes No

Are you taking any of the following medications?

Oral antibiotics (e.g. doxycycline)
Retinoids
Immunosuppressants
Blood thinners (e.g. warfarin)
Treatments for acne
Any topical creams for rosacea or eczema

Yes No

Agreement

Do you understand that rosacea is a long-term condition that may require ongoing treatment and lifestyle management?

Yes No

Do you agree to avoid rosacea triggers such as alcohol, spicy food, heat, and sun exposure, and use SPF daily?

Yes No

Do you understand that Mirvaso may initially worsen redness in some people and should be discontinued if this occurs?

Yes No

Do you understand that Soolantra may take several weeks to work and should be stopped if ineffective after 4 months?

Yes No

Do you understand that Doxycycline can increase sun sensitivity and should be taken with water, while upright, and not with dairy?

Yes No

Do you give us permission to access your NHS Summary Care Record or request medical history from your GP if required?

Yes No

Do you consent to us sharing relevant consultation details with your GP to ensure continuity of 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.