• Medicines
Our doctors would now like to check your suitability for this product

Current and recent use of medicines

In the past 6 months, have you had:

Steroid tablets Medication that affects your immune system Chemotherapy Radiotherapy

Other than those already mentioned, are you taking any medication?

Allergies

Are you allergic to any of the following?

Please select all that apply.

Do you have any other known allergies?

Have you ever had a reaction to an injection or vaccine?

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