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  • Fertility Support

    • Patient details

    Prescription only products can only be purchased based on on the answers provided in this medical questionnaire.

    An answer is required for this question.

    An answer is required for this question.

    An answer is required for this question.

    Are you based in Australia?
    Are you currently on pharmaceutical medications?
    Do you have any pre-existing medical conditions?
    Do you smoke?
    Are you currently pregnant?

    Some of our products are not suitable for pregnancy or breastfeeding. If you are pregnant, breastfeeding or trying to conceive, please carefully read product warnings and disclaimers before purchasing.

    Are you currently trying to conceive?

    Some of our products are not suitable for pregnancy or breastfeeding. If you are pregnant, breastfeeding or trying to conceive, please carefully read product warnings and disclaimers before purchasing.

    Are you currently breastfeeding?

    Some of our products are not suitable for pregnancy or breastfeeding. If you are pregnant, breastfeeding or trying to conceive, please carefully read product warnings and disclaimers before purchasing.

    Is there any other information you think would be beneficial to disclose to our practitioners?

    Please confirm you have provided accurate information.

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