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Online Consultation
Online Consultation
£
65.00
Your Details
Please enter your details to continue
Patient Name
Please enter the patients full name
Date of Birth
*
Gender
*
Choose an option
Male
Female
Is there any possibility you are or may become pregnant in the next 6 weeks?
Your Condition
Tell us about your condition
How long have you had the condition?
*
Your skin colour?
Your hair colour?
Your eye colour?
Picture of effected area
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GP Details
We need to inform your GP for their records if medication is prescribed.
Do you give give your consent to us informing your GP?
GP name
*
GP address
*
GP telephone or email
Medical Questions
Please select which is most relevant
Are you diabetic?
Diabetic Details
Do you have any allergies?
Allergie Details
Are you taking any prescription medication?
Prescription Details
Are you taking any non prescription medication, herbal medicines or illegal drugs?
Medication Deails
Are you being treated for any other medical condition?
Other Medical Condition Details
The Skin Condition
Please tell us more about your skin condition
Is it a Rash?
a Lesion (lump/mole)?
or other?
History of condition or other relevant info
Please give the full history of the condition and any other relevant information or question for the doctor.
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Category:
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Online Consultation
€
85.00
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How Our Online Consultations Work
Send your photos and details via our online consultation.
Our skin specialist will assess your case and email a report/prescription to your email address.
Take your report/prescription to your pharmacy for your medication.
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