Last step: medical questionnaire

Takes ~60 seconds. The doctor will write your prescription based on what you share here.

Your name (the PATIENT's name — not the cardholder if different)

Mobile number (where you'll receive your prescription by text message)

Date of birth (of the patient)

Sex (required, medical reasons)

Tell me everything I should know (symptoms, allergies, current medications, anything important — the more detail, the better the prescription)

📷 Photo (optional — rash, eye, wound…) Tap to add a photo

✓ Sent to the doctor

You'll receive your prescription by email and text message, usually within a few hours.