Dental Infection

- tell us about your condition

  • I will take the medication exactly as prescribed.
  • I understand I must complete the full course unless advised otherwise.
  • I understand I must avoid alcohol if advised with the prescribed antibiotic.
  • I will seek urgent medical help if symptoms worsen or red flag symptoms develop.

  • The information I have provided is accurate and complete.
  • I consent to this remote clinical assessment.
  • I understand antibiotics may not be prescribed if not clinically appropriate.
  • I understand this does not replace a face-to-face dental examination.
  • I will arrange a dental appointment as soon as possible.
  • I agree to read the patient information leaflet before taking any medication supplied.
  • I understand side effects can be reported via the Yellow Card Scheme managed by the MHRA.

I confirm that: I am seeking a remote dental consultation because I have been unable to obtain appropriate assessment and treatment from my own dentist or another local dental service within a clinically appropriate timeframe. I have made reasonable attempts to contact my own dentist and/or another dental provider but have been unable to access the care I require. I understand that remote prescribing is intended only as a last resort where there is no other viable option and where the clinician considers it to be in my best interests. I acknowledge that I have exhausted all reasonable avenues to obtain a face-to-face dental assessment before requesting treatment through this service. I understand that the prescribing clinician may refuse to prescribe if they consider that my condition cannot be safely assessed remotely or that I require an in-person examination. I understand that, if my symptoms worsen, I develop facial swelling, difficulty swallowing, difficulty breathing, fever, or any other concerning symptoms, I should seek urgent face-to-face dental or emergency medical care immediately. I confirm that all information I have provided is accurate and complete. I understand that providing false or misleading information may affect the clinician's ability to assess me safely and may result in treatment being declined. Declaration I have read and understood the above statements and confirm that they are true. I understand that this remote consultation is being requested as a last resort after I have been unable to obtain appropriate face-to-face dental care.

Please complete all required questions.