Top Health Center

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Sex *
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One Time Consulting Charges: $49.99 (USD)

The above payment is for consultation only and does not cover the cost of your medication. Top Health Center will only send your prescription to your pharmacy of choice.

1 - How long ago did your current headaches begin?*

2 - When was your most recent headache?*

3 - At what age did you have your first headache?*

4 - How many headaches do you have each month?*

5 - How long do the headaches last?*

6 - How would you describe the pain of your most serious headaches?*

7 - When you have a headache (and possibly after), does your scalp and face become sensitive to touch — and do you avoid putting on glasses, jewelry or combing your hair?*

8 - Which of these factors seem to contribute to your headaches?*

9 - Do your headaches occur on any particular day of the week or time of day? *

10 - Do you experience any warning signs before the start of a headache? If so, please describe them.*

11 - What parts of the head do you experience pain?*

12 - Please list any additional medical conditions, surgeries, or hospitalizations you have had.

13 - Do you take any medicines, vitamins, or supplements?

14 - Please list any allergies you have.

15 - Please enter preferred pharmacy information.*

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