Erythromycin Pads 2%, Returning Client Medical Questionnaire
Patients are advised that if after using the medication and symptoms do not improve to seek medical advice from a physician.
Within the United States, this item can only be shipped to Florida residents.
Date of Birth
Pregnant or Nursing?
What medications are you taking?
List allergies to medications
What chronic diseases or medical conditions do you have?
For what purpose are you requesting this medication?
How long have you had the condition that you need treatment for?
On what part of the body will you use this medication?
What else are you using to treat your condition?
How did you find RxPalace.com?
Other Search Engine
Referred by a Friend
Not sure how I got here... :)
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