Sex at Birth
Allergies to antibiotics (incl. doxycycline)?
If you answered Yes above, add details here.
List any medicines you take regularly.
History of liver or kidney disease?
History of oesophageal (food pipe) disease?
Currently pregnant or breastfeeding?
Have you been diagnosed with an STI in the last 3 years? (Note if you have not been diagnosed with an STI recently, we are unable to prescribe for you)
Do you currently have symptoms suggestive of an STI?
Examples: discharge, pain on urination, genital ulcers, sore throat, rectal pain
Are you regularly taking part in sexual behaviours where you are likely to be exposed to STIs?
https://www.nhs.uk/live-well/sexual-health/sex-activities-and-risk/ Please visit the link if you are unsure
When was your last sexual health screen?
Are you currently living with HIV?
If HIV-negative, are you currently taking PrEP?
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