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Blood Tests
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Account

Male Hormone Assessment

Male Testosterone (#4)

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Male Hormone Consultation

This is a short consultation to determine your suitability for male testosterone therapy. If you have the results of a recent blood test (last three months) then please have them ready to upload.

Your clinician will review your symptoms, blood results, medical history and treatment goals before deciding whether testosterone treatment is appropriate, and which option is most suitable for you.

About You

Just the basics to start us off

Height – Please select preferred unit

Height in Feet

Height in cms

cms

Inches

inches

Weight – please select preferred unit

Weight in kgs

Kgs

Weight in Stones

stones

pounds

Do you have children?

Yes

Are you planning to have children in the future?

Yes

Your Symptoms

Let us know why you are looking for help

Which symptoms are you experiencing? (Tick all that apply)

How long have these symptoms been present?

Less than 6 months

6–12 months

1–3 years

More than 3 years

How significantly do these symptoms affect your quality of life?

1 means the symptoms are not important, 10 is they are vital

Medical History

Please select none of the above if you have never been diagnosed with any of the following conditions:

Have you ever been diagnosed with:

Please provide details if applicable:

Medication History

This helps our clinicians to ensure they give the best possible advice.

Are you currently taking any medications?

Yes

Please list:

Have you previously used testosterone treatment?

Yes

If yes, which treatment?

Was it beneficial?

Yes

Partially

Lifestyle Factors

Taking lifestyle factors into account helps to prescribe suitable medication

Do you consume alcohol?

Occasionally

Weekly

Daily

Approximately how many units per week?

Do you smoke?

Yes

Exercise frequency:

Rarely

1–2 times per week

3–4 times per week

5+ times per week

Sleep quality:

Poor

Average

Good

Excellent

Sexual Health

How would you rate your libido?

Very low

Low

Normal

High

Very high

Have you noticed a change in sexual function over the last 12 months?

Yes

Are erectile difficulties present?

Never

Occasionally

Frequently

Always

Safety Screening

If none apply, select, ‘None of the above’.

Have you ever been told you have:

Blood Testing

Enhanced Male Liver Test

Before testosterone can be prescribed, a blood test is required.

This helps ensure treatment is appropriate and allows us to establish your baseline hormone levels and overall health profile.

These blood tests can be ordered at the end of this consultation. If you already have blood test results with the following results then please upload them here.

✔ Testosterone

✔ SHBG

✔ Free Androgen Index

✔ Oestradiol

✔ LH

✔ FSH

✔ Prolactin

✔ Full Blood Count

✔ Liver Function

✔ Kidney Function

✔ Cholesterol Profile

✔ HbA1c (blood sugar)

✔ PSA (where clinically appropriate)

Upload Blood Test Results

Do you have the results of a recent blood test to upload?

Yes

Optional – Upload your blood test results here

Choose File

RemiVida Blood Tests

Samples are collected using a finger-prick blood sample at home, or upgrading to the TASSO® blood collection system, with analysis undertaken by a UKAS-accredited laboratory.

Testing also provides useful information about general health, including liver markers, which may be particularly relevant for men reducing alcohol consumption.

In‑Home Blood Test

Enhanced Liver Function Test includes testing testosterone levels in addition to liver function.

A simple at‑home test using the TASSO device. Fast, painless, and ideal for tracking your progress.

Enhanced Male Liver Test

In‑Home Blood Test

The male testosterone home test kit is available with a simple finger-prick blood sample or upgrade to the TASSO device.

Fast, painless, and ideal for tracking your progress.

Liver Function Blood Test

These blood tests can be ordered immediately after your consultation is complete.

Your Details

Please enter your details to create an account

Gender

Male

Female

Other

Date of Birth

GP Surgery Name

NHS Number (if known)

Allergies

First Name

Last Name

Address

Address Line 1

Address Line 2

City/ Town

County

Post Code

Phone/Mobile

Password

Upload Photo ID

Choose File

Additional Information

Registered Address: 36 Tyndall Court, Commerce Road, Lynchwood, Peterborough, Cambridgeshire, United Kingdom, PE2 6LR

Tel: 0208 058 7002

www.remivida.co.uk

Company No: 16743135

ICO registration: ZC116831

About Us
Contact Us
Terms & Conditions
Privacy, Data & Confidentiality
Drink Less Method

Pharmacy & Prescribing Information
Frank Wreford Pharmacy is operated by Sundi Pharma Limited (Company No. 06538776).

Clinical Prescriber: Mr Rishul Shah (GPhC No. 2074095).

Premises GPhC Number: 1040684

Dispensing and compounding services are provided by a UK-regulated pharmacy partner operating under the supervision of its Superintendent Pharmacist. Full regulatory details are available within our Terms & Conditions

All treatment options are subject to clinician review and are not guaranteed.
Prescriptions are issued by UK-registered independent prescribers, including GPhC-registered pharmacist prescribers.

RemiVida provides access to online clinical assessment through independent UK-registered clinicians and partner pharmacies.

Treatment decisions are made independently by UK-registered clinicians and are subject to individual assessment.

Not all individuals will be suitable for treatment.