What is your date of birth?

What symptoms have you experienced?

Pain or burning sensation when urinatingUrinating more frequently than usualNeed to urinate right away (urgency)Urine with blood in itLower abdomen crampsSoreness and/or itching around the vaginaOther

How long have you had the previously listed symptoms?

One week or lessBetween 1 to 2 weeksMore than 2 weeks

Have you had a urinary tract infection before?

YesNo

What other symptoms do you have?

You may need to see a doctor face-to-face as soon as possible due to these other symptoms.

Fever or temperature > 38.2 °CChillsNauseaVomitingConstant middle back painBack pain that is moderate or severeDehydration causes dizzinessSevere back spasms or cramps affecting only one side of the bodyOtherI don't have any other symptoms

Do You have any of the following medical conditions?

A UTI paired with certain medical conditions necessitates to see a doctor in person. Choose all that apply to you.
Diabetes65 or olderPostmenopausal and not on hormone replacement therapyTook antibiotics recently (within the past 3 months)Have kidney, bladder, or urinary problemsHospitalized recentlyUndergo chemotherapyHave HIVHave liver problemsNone apply

Are you allergic to any medicine? (Include antibiotics)

YesNo

Do you take other medication(s) or have any other medical conditions?

YesNo

Do you have any of these conditions?

NonePregnant or planning to become pregnantBreastfeedingHistory of kidney problemsHistory of liver problemsA diagnosed immune disorderOther

Anything else you would like us to know?

YesNo

How would you like to pay?

Out of pocketInsurance
upload emirates insurance details (if available)

Upload a Photo of your Emirates ID
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Billing and delivery details

Google MapDelivery Location Google Map: (Please Share your Google Map Link)
Delivery Location
Neighborhood/Area:
Street Name/No:
Address Details:

Personal Details

Title: Mr.Ms.
First Name: Last Name:
Mobile Number: E-mail:

Confirm Request and Agree to Terms

After you submit your request, a licensed medical provider will review your information. You will be notified by email/contact number when that provider has reviewed your request and, if appropriate, made care recommendations.