Sire Consult - Erectile dysfunction (LIVE)

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Have you read through our website's policies?* This field is required.Terms & Conditions, Privacy Policy, Telehealth consent
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Date of Birth* This field is required.You need to be at least 18 years old to use this service
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Who referred you to Sire?So that we can thank both of you!
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Are you confident about getting an erection?* This field is required.The IIEF-5 survey is an international standards for assessing ED severity
Never or almost never
Always or almost always
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Is your erection hard enough for penetration?* This field is required.The IIEF-5 survey is an international standards for assessing ED severity
Never or almost never
Always or almost always
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Are you able to maintain your erection after penetration?* This field is required.The IIEF-5 survey is an international standards for assessing ED severity
Never or almost never
Always or almost always
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Are you able to maintain your erection till completion?* This field is required.The IIEF-5 survey is an international standards for assessing ED severity
Never or almost never
Always or almost always
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Are you satisfied with sexual intercourse?* This field is required.The IIEF-5 survey is an international standards for assessing ED severity
Never or almost never
Always or almost always
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IIEF-5 ED Score
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Based on your answers, you have may not have erectile dysfunction:
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Based on your answers, you have mild erectile dysfunction:
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Based on your answers, you have moderate erectile dysfunction:
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Based on your answers, you have severe erectile dysfunction:
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Do you have any drug allergies?* This field is required.
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You have stated that you have a drug allergy(s). Kindly describe the medication that you are allergic to and briefly describe your allergic reaction below.
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Do you take any medications containing NITRITES?* This field is required.eg. glyceryl trinitrate (GTN), isosorbide dinitrate and isosorbide mononitrate. Read more
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Do you have any known heart diseases?* This field is required.eg. Heart attack, cardiomyopathy, arrhythmia or heart irregularities
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Do you have any difficulties climbing at least TWO flights of steps?* This field is required.You may have heart issues if you have difficulty climbing stairs. Learn more about heart disease and ED here
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You are eligible for the following subscription plans: Sildenafil 100mg* This field is required.We offer a Casual (4 tabs/month) or Serious (10 tabs/month) subscription plan. We recommend taking 1 tablet (100mg) about 30-60min before sexual activity. Best taken on an empty stomach. For more information about how Sildenafil works or our subscription plans, please visit our product page here. Subscriptions can be cancelled at any time, and will take effect from the next dispatch of medication. For more details, please refer to our cancellations and refunds policy. Please select your subscription option below.
4-PILL PLAN ($10 per tablet) - Total $40
10-PILL PLAN ($8 per tablet) - Total $80
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Order* This field is required.
4-PILL PLAN ($10 per tablet) - Total $40
10-PILL PLAN ($8 per tablet) - Total $80
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Price* This field is required.
4-PILL PLAN ($10 per tablet) - Total $40
10-PILL PLAN ($8 per tablet) - Total $80
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Final price
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Personal Particulars* This field is required.As a MOH-licensed clinic, we are required to verify your details in order to dispense prescription medications.
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Mobile NumberOur delivery crew will contact you prior to delivery
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Email (main)* This field is required.We will communicate with your regarding your subscription through this email
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NRIC / Passport Number* This field is required.As part of MOH guidelines, we are required to verify your personal details.
If you skip this step, our staff will assist you later
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Kindly upload a copy of your NRIC / PassportAs a MOH-licensed clinic, we are required to verify your identity before delivering any prescription medication to you. Your name, date of birth, and NRIC / ID number needs to be clearly seen.
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Max. file size: 10.6MB
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Payment Option* This field is required.Orders will only be dispatched after payment has been made
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{fullName}, you have selected the subscription plan: Sildenafil 100mg, {order} We will dispatch your order on a monthly basis. Each subscription plan is valid for ONE year. If you skip this step, our staff will assist you later
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$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
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Great Product Name
$20
Quantity:1
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Great Product Name
$20
Quantity:1
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ORDER SUMMARY
Total costSGD
Credit card verificationThis step is for verification of your credit card details and your card will not be charged. The final amount will be shown at checkout.
$0.10SGD+
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Total cost $0.00SGD
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Order Summary
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CHECKOUT

SHIPPING DETAILS

{fullName}
{ID}
{DOB}

Delivery address:
{shipping}

Contact details:
{email}
{personal[4]}

**If you have any missing information, proceed to complete the survey. Our staff will be in touch with you to assist you further.

PAYMENT OPTION

{Payment}

ORDER SUMMARY

Sildenafil 100mg, {order}
Instructions: Take up to 1 tablet (100mg) 30-60min before sexual activity. Best taken on an empty stomach.

Subtotal ${price}

Consultation $10

Delivery fees free

TOTAL ${finalPrice}

All prices are in Singaporean dollar (SGD). GST not included.

Thank you for submitting your order. Our in-house doctors will review your details within 24 hours.

What can you expect after this?
Our doctors will contact you via the mobile number provided to perform a video consultation.

As a MOH-licensed telemedicine provider, we are required to perform a video consultation before we can dispense your medication. Where applicable, your prescription will be valid up to one year from the date of the first consultation.

When will your subscription begin?
Your subscription of Sildenafil 100mg, {order} will begin only after the video consultation, and your credit card will be charged then.

You will be billed according to your subscription plan, and your subscription will be renewed automatically 3 days before the end of your current subscription.

When will my medications be dispatched?
After confirmation of treatment via the video consultation, we will dispatch your order within 3 working days.

For your chosen subscription plan, you will receive your medications every month.

Your prescribed medication top-ups will be dispatched within 3 days from the day you are billed.

Cancellation Policy
You may cancel your subscription any time, and will take effect from the next order onwards. Any medication dispensed cannot be returned or refunded. If you have opted for the 12-month subscription plan, we will refund you the amount that has not been dispatched.
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Unique ID
Should be Empty:

Subtotal	${price}
Consultation	$10
Delivery fees	free
TOTAL	${finalPrice}

CHECKOUT