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Welcome to your online clinic!
In order to answer your inquiry in the best possible way, we ask you to send us
meaningful photos
of your skin problem and to fill in the
questionnaire
below in as much detail as possible
Upload at least 1 photo, preferably 3 or more.
Too many items ({netItems}) were uploaded. Maximum items {itemLimit}.
Describe your main symptom as detailed as possible:
0/1500
Character
How severe is the itching?
How severe is the burning?
How severe is the pain?
For how long have you had this problem?
please select
since < 3 days
since 3-7 days
since > 1 week
since > 1 month
since > 1 year
How did the problem appear?
please select
suddenly
slowly
I don’t know
Have you already received treatment for this issue? (e.g. creams, ointments, baths, tablets)
yes
no
Have similiar skin changes occurred in the past?
yes
no
Please describe your previous skin issues. Have you previously received a diagnosis? Which treatment was prescribed at that time? Was this treatment successful?
Do you have any other symptoms or pre-existing conditions?
yes
no
Please describe these.
Is medication being taken?
yes
no
Which ones?
How often?
several times a day
1x/day (regular)
more than 1x/week
less than 1x/week
Since when?
a few days
over a week
over a month
over a year
since DD.MM.YYYYY
Do you have any known allergies?
yes
no
Which allergies?
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