Form for the Diagnosis: Price € 19.90

You will only pay if you have to issue a prescription for treatment

With this form our experts will assess your symptoms to diagnose if you have a urine infection or if on the contrary, you could suffer another health problem. In case of a urinary infection, your antibiotic treatment will be sent with the valid printable recipe for any European pharmacy and a series of recommendations to avoid future infections. If you do not have symptoms suggestive of urine infection and therefore should not be treated with antibiotics, we will explain and you will not be cost.
We hope to help you. Thank you for your trust.


Personal information


Indicate if you have any allergies to any medications:


Relevant medical history:


Urological antecedents:


Urine infection in the last month:


If yes in the previous question:


Time of reappearance of the symptoms of new infection in the case of having presented an infection in the last month:


Which are your current symptoms:


Reactive strip (Optional)
  • Nitrites:
  • Leukocytes:
  • Hematíes:


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