Consultation | Mentor Pharmacy

Scabies

Scabies is a contagious skin condition caused by mites burrowing into the skin, leading to intense itching and a rash. It spreads through close contact or shared items but is easily treatable with proper care and hygiene. Treating all contacts and cleaning bedding and clothes thoroughly helps stop the infection from returning and ensures full recovery.

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Scabies

Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.

1 About Your Health

Your health and safety are our top priorities. Please provide accurate and complete information during your consultation so we can recommend the most appropriate treatment for you.

Do you have any known allergies?

Are you taking any other medicines?

Do you have any chronic conditions? (e.g., diabetes, hypertension, asthma, etc.)

Have you had any surgeries in the past year?

Do you smoke?

Yes

Do you consume alcohol?

How often do you exercise?

Daily

Weekly

Rarely

Never

What is your typical diet like? (e.g., balanced, high-fat, spicy foods)

2 About Your Condition

Please provide accurate and honest details during your consultation. This helps us offer the safest and most effective treatment for you.

How long have you been experiencing symptoms of scabies?

What symptoms are you currently experiencing? (e.g., intense itching, especially at night, pimple-like rash, burrows on the skin)

How severe are your symptoms on a scale of 1 to 10 (1 being mild and 10 being severe)?

Have your symptoms interfered with your daily activities or quality of life?

Have you been diagnosed with scabies by a healthcare professional?

Yes

Have you had any tests to confirm the diagnosis? (e.g., skin scraping)

Have you identified any possible sources of infection? (e.g., close contact with an infected person, shared bedding or clothing)

Have you been prescribed medication for scabies before?

Are you currently taking any medication for scabies?

Have you experienced any side effects from your current or past scabies medications?

Have you tried any non-medication treatments for scabies? (e.g., washing all bedding and clothing, avoiding close contact with infected individuals)

Have you used over-the-counter treatments for scabies?

3 The Agreement and Consent

Please read the Agreement and Consent statements carefully during your consultation. They contain important information to help you stay informed and safe throughout your treatment.

Understanding of Risks

I have been informed about the potential side effects and interactions of the prescribed medication for scabies.

Medical Guidance:

I agree to consult with my healthcare provider before starting any new medication.

I understand that the information provided in this assessment will be reviewed by a licensed pharmacist before my order is processed.

Consent to Share Information:

I consent to my personal and medical information being used to assess my suitability for the prescribed medication.

I understand that my information will be kept confidential and used solely for the purpose of this assessment.

Confirmation:

I confirm that the information provided in this assessment is accurate and complete to the best of my knowledge.

I understand that providing false information may result in my order being cancelled and may have health implications.

1 About Your Health
2 About Your Condition
3 The Agreement and Consent

Cancel assessment

Assessment for Scabies

Scabies

Scabies

1 About Your Health

Do you have any known allergies?

Yes

Are you taking any other medicines?

Yes

Do you have any chronic conditions? (e.g., diabetes, hypertension, asthma, etc.)

Yes

Have you had any surgeries in the past year?

Yes

Do you smoke?

Do you consume alcohol?

Yes

How often do you exercise?

What is your typical diet like? (e.g., balanced, high-fat, spicy foods)

2 About Your Condition

How long have you been experiencing symptoms of scabies?

What symptoms are you currently experiencing? (e.g., intense itching, especially at night, pimple-like rash, burrows on the skin)

How severe are your symptoms on a scale of 1 to 10 (1 being mild and 10 being severe)?

Have your symptoms interfered with your daily activities or quality of life?

Yes

Have you been diagnosed with scabies by a healthcare professional?

Have you had any tests to confirm the diagnosis? (e.g., skin scraping)

Yes

Have you identified any possible sources of infection? (e.g., close contact with an infected person, shared bedding or clothing)

Have you been prescribed medication for scabies before?

Yes

Are you currently taking any medication for scabies?

Yes

Have you experienced any side effects from your current or past scabies medications?

Yes

Have you tried any non-medication treatments for scabies? (e.g., washing all bedding and clothing, avoiding close contact with infected individuals)

Yes

Have you used over-the-counter treatments for scabies?

Yes

3 The Agreement and Consent

Understanding of Risks

Medical Guidance:

Consent to Share Information:

Confirmation:

Assessment Progress