Pharmacy First - Infected Insect Bite - The Family Chemist

1. Please provide the patient's details:

First Name *

Last Name *

Date of Birth *

Gender *

Email Address:

Postcode:

Phone Number:

Consent to Access Your Summary Care Records?

2. Please select which symptoms you're experiencing (select all that apply):

I had an insect bite 2 or more days ago

The bite site is now red/ swollen

The bite site is painful/tender to touch

The bite site is warm to touch

There is pus or weeping from the bite site

None of the above

2b. You may not be experiencing signs of an infected insect bite, please contact your GP or a local pharmacy for review of your symptoms.

Thank you

We appreciate the time spent answering this questionnaire.

Your symptoms may need further investigation and we are unable to provide treatment through Pharmacy First, please visit your GP or contact NHS 111 for further advice and support.

3. Please upload a picture of the affected areas to help our pharmacist prepare for your consultation. The picture should be taken in good lighting and you may wish to hold a coin beside the affected areas, to provide a visual size comparison guide for our pharmacist.

Upload Image

4. Please select if any of the below symptoms apply:

I am pregnant (and under the age of 16)

Bite caused by animals or humans

Bite caused by a tick in the UK or bite or sting when I was travelling abroad

I am currently on medication that dampens down my immune system

I have tried oral medication for this already but it hasn't helped

None of the above

4b. Your symptoms may need further investigation and we are unable to provide treatment through Pharmacy First, please visit your GP or contact NHS 111 for further advice and support.

Thank you

We appreciate the time spent answering this questionnaire.

Your symptoms may need further investigation and we are unable to provide treatment through Pharmacy First, please visit your GP or contact NHS 111 for further advice and support.

5. Please select if any of the below symptoms apply (these might suggest that further review of your symptoms are required and we may signpost you to a suitable healthcare provider following our consultation):

Raised temperature (38 or above)

Generally feeling unwell/ tired

Breathing faster than usual or difficulty breathing/ shortness of breath

Rapid or worsening symptoms such as nausea, vomiting or confusion

I am currently on medication that dampens down my immune system and my symptoms have gotten worse in the past day

None of the above

5b. Please select a suitable date and time to book your appointment for a video consultation on the next page. If you start feeling worse before the consultation, seek more urgent care.

Please book a priority consultation

Please follow the link below to book a priority consultation

Please note we will be able to tell you more and answer any questions during the consultation.

6. I can confirm that I have answered the questions to the best of my ability and I am experiencing the symptoms I have selected:

Yes

6b. Please select a suitable date and time to book your appointment for a video consultation on the next page. If you start feeling worse before the consultation, seek more urgent care.

We need to speak with you

We have gathered enough information

Please use the link below to go book an video call consultation about your conditions, please note we will be able to tell you more and answer any questions during the consultation.

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Pharmacy First – Infected Insect Bite

0115 850 1944

enquiries@thefamilychemist.co.uk

Unit 1, Wilford Business Park,
Ruddington Lane,
Nottingham,
NG11 7EP

Opening times

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