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[% total_qty %] Items
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[% total_qty %]
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  Total: [%% basket.cost_subtotal|multi_currency %%]

Online Appointments
- - Online Appointments - Coming Soon!
  GPs
- Psychologists
- - Frequently Asked Questions
    View all
  FAQ
- - Why choose Simple Online Doctor
    
    Our AHPRA registered health professionals are online and ready to help
    
    Australian Registered
    
    Convenient
    
    Easy to use
  Why Us
- - How it Works
    
    Make Appointment
    
    Make an appointment with one of our health experts for an online video consultation
    
    Information
    
    Complete a form to give us some information about why you want to chat to a doctor, and complete payment for your appointment
    
    Get Online
    
    Just be online at the correct time, and start your online consultation with one of our GPs
    
    Find Out More
  How It Works
Online Scripts
Medications
FAQs

Assessment Progress

1Your Period Delay
2Your health
3Consent

Assessment

Ordered Before? Log in now, and save time completing your assessment and confirm you have verified your ID.

Item added to bag. Click here to view bag.

Please select a size from above to proceed.

There are NHS prescriptions in your basket. Please complete the order first or remove NHS prescriptions from the basket.

Patient Notice! This questionnaire forms the basis of your period delay consultation today. We need you to be honest with your answers including any current medication you are on. This allows our doctors to prescribe medication that helps you and offer accurate advice. We expect you to read the medicinal information provided before selecting your treatment.

1Your Period Delay

Are you aware you need to be able to predict when your periods are due?

NOTE: Dosing should start 3 days before your period is due. *

No Yes

We are unable to supply period delay medication.

Please see your regular GP for further options.

Are you female and aged between 18 - 54?

This medication is suitable for women who are 18-54 and not taking any hormonal contraceptives. *

No Yes

We are unable to supply period delay mediaction.

Please see your regular GP.

Do you have undiagnosed irregular vaginal bleeding (outwith your period)? *

No Yes

Unfortunately we can not prescribe you norethisterone. Please talk to your GP about treatment options.

Are you taking hormone injections or contraceptive pills of any type? *

No Yes

We are unable to supply period delay medication.

Please see your regular GP for further options.

2Your health

Do you suffer from any of the following?

Cancer
Liver condition
Sickle cell disease
Epilepsy
Migraine or severe headaches
Diabetes
Abnormal blood sugar levels
Anxiety or depression
Any other mental health problems
Undiagnosed irregular vaginal bleeding

*

No Yes

Unfortunately we can not prescribe you norethisterone. Please talk to your GP about treatment options.

Have you had a thrombosis (DVT) or does thrombosis run in your family? *

No Yes

Unfortunately we can not prescribe you norethisterone. Please talk to your GP about treatment options.

Do you suffer from any problems with your kidneys, your urinary system, your digestive system or your liver? *

No Yes

Unfortunately we can not prescribe you norethisterone. Please talk to your GP about treatment options.

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

No Yes

Please give more details *

Do you have any known allergies to norethisterone or ingredients found in tablets? *

No Yes

We are unable to supply period delay medication.

Please see your regular GP for further options.

Do you have any other health problems or conditions that you think we should know about? e.g. recent or major operations, G6PD, porphyria, neurological conditions etc. *

No Yes

Please give more details *

Do you smoke? *

No Yes

Are you aged over 35? *

No Yes

We are unable to supply period delay medication.

Please see your regular GP for further options.

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

No Yes

We are unable to supply period delay medication.

Please see your regular GP for further options.

3Consent

I confirm I am over 18 years old.

The medicine ordered is for my sole use only.

I will read the patient information leaflet supplied with the medicine specifically 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 Simple Online Doctor terms and conditions. *

Confirm

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