Erectile Dysfunction (ED) Treatment – Sildenafil Suitability Assessment

  • Erectile Dysfunction (ED) Treatment – Sildenafil Suitability Assessment

    Sildenafil 25mg, 50mg, and 100mg tablets are prescription-only medicines for treating erectile dysfunction in adult men. Please answer all questions honestly; providing false information may put you at risk.
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  • Section 1: Patient Details

  • Next working day delivery available. Delivery charge of £2.50 will apply. 

  • Submit form by 12pm, and you qualify for FREE same day delivery

  • You qualify for FREE next day delivery

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  • Section 2: Eligibility Confirmation

  • You have selected you are not male, this medication is only suitable for males.
  • Please ensure you are at least 18 years old to proceed with this assessment.
  • Your consent is essential for us to proceed with this assessment and prescription process. Please read carefully before agreeing.

  • Section 3: Erectile Dysfunction History

  • Section 4: Medical History

  • Section 5: Current Medications

  • Section 6: Declaration

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  • Clinician Section

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