Homoeopathic Clinic Online Flu Consultation

Homoeopathic Clinic
Online Flu Consultation

Please note that this service is currently only available to UK residents. The consultation fee is Ł14.95 including homoeopathic remedy which will be sent by first class post to your address within 24 hours (Sunday - Friday).

Each consultation form is
reviewed by a qualified homoeopath
and all remedies individually prepared to order.

Please complete the form below.

Personal details

    Name
    First name
    Surname
    Date of birth

   Address
    House No & Street
    Town
    County
    Post code

   Contact details
    Email
    Day time telephone
    Fax (if any)

   Payment details

    Card type

    Card number
    Expiry date
    Issue No. (Switch only)

Consultation Form
Take great care as Homoeopathy is a complex science and accurate replies are vital to ensure correct prescriptions.
Some of the questions may seem a little unusual, however all of the questions have relevance to a Homoeopathic consultation.
You will receive a response by email within 24 hours (Sundays and weekdays only) and the appropriate homoeopathic remedy or remedies will be dispatched to you together with instructions and advice within the same period by first class post.

   Name of patient (if different from payee)

   Gender male    female
   Age

            (please tick)

Flu

Are you suffering from a fever (high temperature)?
yes no
If 'yes' , Did the fever come on abruptly or slowly ?
Is your skin: cracked delicate dry moist damp yellow in appearance grey in appearance
If you perspire, does your perspiration produce a sour odour? yes no
Do you feel very hot normal cold freezing alternating
Is your face pale red & flushed shiny in appearance
Are you suffering from headaches? yes no
Do you have a sore throat loss of taste dry mouth
Do you feel thirsty? yes no
Are your eyes bloodshot protruding droopy
Do you suffer from bone pains aching legs muscle weakness tremors/feeling shaky
Which of the following would you like at the moment?
warm food warm drinks cold food cold drinks

During the past two years, how many times have you suffered with Flu?

0 times 1- 2 times more than 3 times

Was your condition caused or preceded by

an infection

exposure to dry cold wind

emotional shock or fright

head getting cold or wet

anticipation

stress and worry about financial problems

Are any of the following additional symptoms particularly relevant to you?

anxiety

fear

confusion

stress about a forthcoming event

a desire to be at home

restlessness

stubborn

irritable

perfectionist

easily offended

violent

chills

weakness

throbbing headache

fatigue

sluggishness

nausea

Do you feel better

in fresh air

in cool surroundings

standing

sitting upright

in a warm room

for warmth of the bed

for heat

for movement

after urination

for drinking alcohol

bending forwards

for applying firm pressure to the head

for sleep

sympathy

for sweating

Do you feel worse

in warm rooms

lying on the affected side

in the evening

at night

tobacco smoke

music

jarring

movement

noise and bright light

in the hot sun

lying down on the right side

for sitting

in the morning

before thunderstorms

humidity

excitement

after eating

at a specific time? if so, please state

coughing

drinking hot drinks cold drinks

Press the 'submit' button below to send your consultation and payment. You will receive an acknowledgement within 24 hours (48 if sent on a Saturday).
A qualified homoeopath will review your form and prescribe appropriate homoeopathic remedies which will be dispatched by first-class post with appropriate instructions.