What was your assigned sex at birth?
This online consultation depends on knowing your assigned sex at birth, not your gender identity. We need to know this information so we can ask relevant clinical questions and recommend suitable treatments.
What is your date of birth?
Are there any diagnoses you are concerned about?
Have you consulted a clinician about your symptoms?
Which areas of your body are predominately affected?
Does the skin condition affect your body symmetrically - for example, both arms or legs?
Does the skin condition affect any of these body parts?
What colour predominately describes the affected skin?
Which features best describe your skin condition?
Is the area growing in terms of height or width?
Please describe the borders of the skin condition.
Please select the features that describe the affected skin.
Do you have any non-skin-related symptoms, such as joint or muscle pain, dry mouth, irritated eyes, or genital symptoms?
How long have you had this skin condition?
Are there any specific triggers or relievers for your symptoms (e.g., stress, sunlight, chemicals)?
Have you used any treatments for your symptoms, either currently or in the past?
Is there a specific reason you stopped or wish to change the treatment (e.g., side effects or lack of effectiveness)?
Are you currently pregnant, breastfeeding, or planning to conceive?
Do you have any allergies?
Do you take any medicines including prescription, over-the-counter or recreational drugs?
Are there any conditions that run in your family (e.g., cancers, blood clots, or cardiovascular disease)?
Is there any other information you wish to share that you feel is relevant?
Do you consent for us to inform your GP, and if necessary, have a dialogue so that we can provide effective ongoing continuity of care?
Please provide the name and contact details for your primary GP
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Please note that it's in your best interest that your GP is informed about the details of your medical consultation. This is to ensure they can keep your medical record up-to-date with any changes to your regular medications, addition of any new medications, monitoring requirements such as blood tests or any new allergies or adverse reactions identified. Since we are not your regular healthcare provider, any treatment offered is on the understanding that you will share this information for your safety.
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