Gastroenteritis MIF – GoodpillRx

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Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

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Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Home
Shop
For Providers
About us
Contact us

Generic selectors

Exact matches only

Exact matches only

Search in title

Search in title

Search in content

Search in content

Search in excerpt

Post Type Selectors

product

product

post

post

page

page

product variation

product_variation

Filter by Categories

Uncategorized

Uncategorized

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Gastroenteritis MIF

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address City State ZIP Code

What is your date of birth?*

MM slash DD slash YYYY

What is your height?

What is your weight?

What is your gender?*

Male

Female

Are you currently breastfeeding, currently pregnant, or may become pregnant in the near future?*

Yes

No

Not sure

Please list all medications prescribed to you even if you don't take them every day. Include vitamins, and dietary supplements. Enter medicines including name, dose, frequency, and reason for taking.*

Please list your allergies, including any allergies to medications.*

Which of the following are you complaining of? Select all that apply.

Nausea

Vomiting

Diarrhea

Abdominal pain

Please rate your abdominal pain on a scale of 1-10. 10 is the worst pain you have ever felt.*

When did your symptoms start?*

1-7 days ago

1-2 weeks ago

3-4 weeks ago

More than 1 month ago

Have you symptoms been getting progressively worse, better or staying about the same?*

Getting worse

Getting better

Staying the same

Are your symptoms provoked by any action? For example, food, stress, pets, water, occupation, etc.*

Yes

No

What was the trigger?

Have you traveled outside of the United States within the last month?*

Yes

No

What was your destination?

Have you taken any cruises within the last 2 weeks?

Yes

No

Are experiencing any of the following symptoms?

Increased thirst

Weakness

Dizziness

Decreased urination

Frothy, greasy diarrhea

Brown-green stools

Grey stools

Bloody stools

Have you had a fever?*

Yes

No

Please indicated your last temperature reading.

Have you taken any antibiotics within the last month?*

Yes

No

What antibiotic did you take? What was being treated with the antibiotic? How long was the course? When did the treatment end?*

Have you been hospitalized within the past week?*

Yes

No

What was the reason for the hospitalization?

Have you been around anybody with the similar symptoms?*

Yes

No

Have you been diagnosed with any of the following?

Prolonged QT interval

Cardiac arrhythmias

Pheochromocytoma

Epilepsy

Recent heart attack

Congestive heart failure

Coagulation disorder (i.e. G6PD deficiancy)

Gastrointestinal bleeding

Diabetes

Autoimmune disease

Thyroid disease

Liver disease

Kidney disease

Provide a recent heart rate and blood pressure measurement. This can be from a recent appointment (within the past 6 months) or you can have these measured for free at most local pharmacies such as CVS or Walgreens.

Finally, is there anything else we should know?*

Yes

No

Please briefly explain*

GoodpillRx is dedicated to helping our patients have access to quality, affordable medications, delivered straight to their door.

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