Welcome to CNWL's Online PrEP service.

1. Have you received PREP in one of our clinics* in London in the last 12-months? No Yes

   *Archway Clinic, Edgware Community Hospital Sexual Health Clinic or Mortimer Market Centre

2. Have you got more than 1 week's PrEP left? No Yes

1. We need to check whether anything has changed since your last appointment. Please answer the short questionnaire below:

   1. Are you doing ‘event based/on demand’ dosing, or daily dosing of PrEP (if you’re blending the two, choose ‘event based/on demand’)? Daily On Demand/Event Based
2. 2. Are you getting any side-effects from PrEP which you would like to discuss with a doctor/nurse? No Yes

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3. 3. Since you were last reviewed in our service: a. Have you been told that you have any new medical conditions (e.g. high blood pressure, kidney problems)? No Yes

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4. b. Have you started on any new medications? This includes if you have started regularly taking non-steroidal anti-inflammatories (e.g. ibuprofen or naproxen) or taking other medications/supplements that you have bought without a prescription? No Yes

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5. c. Have you developed a new allergy to any medication or food? No Yes

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