Female Facial Hair Assessment | Pharma Aesthetics

Skip to content

Search

Account

£428.65 7 Basket

Main Menu

Online GP
Online Pharmacy
NMN Supplements
Aesthetic Treatments
Walk In Services
Online Doctor
Weight Loss Clinic

£428.65 7 Basket

Search

Main Menu

Online GP
Online Pharmacy
NMN Supplements
Aesthetic Treatments
Walk In Services
Online Doctor
Weight Loss Clinic

Online Doctor now available

Female Facial Hair Treatment Medical Questionnaire

"*" indicates required fields

Step 1 of 8

12%

Ordered Before?

Please sign in and re-order. To ensure no delays to your order, we must have a medical questionnaire filled. Log In
You can order again by selecting the product from your dashboard, clicking Order Again.

Medical Questionnaire

Patient Notice: This Questionnaire forms the basis of your Female Facial Hair Treatment consultation today. We need you to be honest with your answers including any current medications you are on. This allows our doctors to prescribe medication that helps you and offer accurate advice. We expect you to read the medical information before selecting your treatment.

Your Symptoms

Have you noticed an increase in facial hair growth that is thicker or darker than normal?*

Yes

No

Please provide more information below.*

Does the facial hair growth cause you distress or affect your self-esteem?*

Yes

No

Please provide more information below.*

Have you attempted any hair removal methods (e.g., shaving, waxing, plucking) with unsatisfactory results?*

Yes

No

Please provide more information below.*

Is the hair growth primarily located on areas such as the chin, upper lip, or cheeks?*

Yes

No

Please provide more information below.*

Have you observed any changes in your menstrual cycle alongside the increase in facial hair?*

Yes

No

Please provide more information below.*

Health

Are you currently using any hormonal medications, such as contraceptives or hormone replacement therapy?*

Yes

No

Please provide more information (we ask this question so our doctors can make sure any treatment they prescribe is safe for you):*

Have you been diagnosed with any hormonal conditions, such as polycystic ovary syndrome (PCOS) or thyroid disorders, that could be contributing to excess hair growth?*

Yes

No

Please provide more information (we ask this question so our doctors can make sure any treatment they prescribe is safe for you):*

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

Yes

No

Please provide more information (we ask this question so our doctors can make sure any treatment they prescribe is safe for you):*

Do you have any skin conditions or sensitivities that could be affected by topical hair removal or growth inhibitor treatments?*

Yes

No

Please provide more information (we ask this question so our doctors can make sure any treatment they prescribe is safe for you):*

Have you previously sought medical advice or treatment for excess facial hair, and if so, what treatments were recommended or prescribed?*

Yes

No

Please provide more information (we ask this question so our doctors can make sure any treatment they prescribe is safe for you):*

Acknowledgements

Please Confirm

I understand if I start to experience any symptoms that seem out of the ordinary, I must see a GP.

These questions aim to provide a thorough understanding of the patient's symptoms and overall health, essential for safely and effectively prescribing treatments for female facial hair.

Consent

We strongly advise that you inform your GP of any treatment you receive, Would you like us to inform them on your behalf?*

Yes

No

Your GP Address Details

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Your Details

Name*

First Last

Phone*

Date of Birth*

Day

Month

Year

Your Home Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Please Confirm

Confirmation*

I Confirm

• I confirm I am over 18 years old
• The medicine is ordered for myself
• I will read the patient information leaflet supplied with the medicine and specifically the side effects and dosages
• I take responsibility to inform my own regular doctor of this online consultation or any changes in my circumstances.
• I agree to the Pharma Aesthetics Terms and Conditions.

If treatment is not suitable, you will be refunded and signposted to another point of care. The decision about treatment is for both the patient and the prescriber to consider, however, the final decision will always lie with the prescriber.

Email

This field is for validation purposes and should be left unchanged.

Ordered Before?

Sign In And Reorder Prescription

16 Broadway, Rainham, Essex, RM13 9YW
01708 608860
info@pharma-aesthetics.co.uk

Facebook Instagram

£428.65 7 Basket

Pharmacy

Online Doctor
Online Pharmacy

Aesthetics

Dermal Filler Treatment
Fine Line & Age Wrinkles
Vitamin B12 Injection
aqualyx fat dissolving injection
lipo cavitation treatment

About

Cart
Checkout
Returns Policy
My Account
Delivery
Feedback and Complaints
About us
Privacy Policy
Terms and Conditions
Contact us

Pharma Aesthetics Ltd © All rights reserved

Powered by Elliot Web Designs

Shopping Basket