Virtual Visit: Action Required APPTS:: Virtual Visit Questions Your order requires a VIRTUAL visit, which means you MUST answer these questions before you receive your order. Startpress Enter I will use the medications prescribed to me under the guidance of a qualified healthcare professional whenever such a professional is available to me. YES NO I will store my medications securely and out of access to children. YES NO Do you have a Primary Care Physician or have you had a general check up in the last 2 years? YES NO Are you currently taking any medications for a chronic condition? YES NO List Medications or type NA. * Do you have any history with kidney or liver disease? YES NO Do you have any allergies to the following? * Cephalosporins Macrolides Penicillins Metronidazole Fluoroquinolones None of the above Please describe any other allergies you have, or type NA. I will inform my primary care physician of any significant changes to my health conditions. YES NO I am NOT seeking additional medications to be used by friends or family members YES NO I am NOT seeking antibiotics to treat an active medical diagnosis/problem. YES NO For legal purposes, please confirm your identity on the next screen to complete your virtual visit. Name Name First First Last Last Phone * Birthday * If you are human, leave this field blank. NextSubmit Use Shift+Tab to go back