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Please indicate which of the following statements regarding increased sweating is most likely to apply to you:
My sweating is never noticeable and never interferes with my daily activities.
My sweating is tolerable and sometimes interferes with my daily activities.
My sweating is almost unbearable and often interferes with my daily activities.
My sweating is unbearable and always interferes with my daily activities.
Since when do you sweat more?
please select
since < 3 days
since 3-7 days
since > 1 week
since > 1 month
since > 1 year
On which parts of the body does increased sweating occur? (multiple choice possible)
Face / Head
Armpits
Hands
Groin / intimate area
Feet
All over the body
Occurrence of sweating is independent of temperature, unpredictable and not voluntarily controllable?
yes
no
Do you also sweat a lot at night while you sleep?
yes
no
Have you already received treatment for this issue, if so with which medication?
yes
no
Are there any other symptoms or pre-existing conditions?
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 suffer from increased stress?
yes
no
Describe the current problem in as much detail as possible
Your profile
For whom are you doing a request?
For myself
For another person
Please enter the data of the person for whom you are making an inquiry.
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In which country does the patient live?
Gender
male
female
Are you currently pregnant or are you planning a pregnancy within the next few months?
yes
no
Details about pregnancy
Please select
Planned pregnancy
Pregnant 1st trimester
Pregnant 2nd trimester
Pregnant 3rd trimester
Are you breast-feeding?
yes
no
Please enter your data.
First name
Surname
Date of birth
Day
1
2
3
4
5
6
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9
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11
12
13
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January
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Year
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2014
2013
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1933
1932
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1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
In which country do you live?
Gender
male
female
Are you currently pregnant or are you planning a pregnancy within the next few months?
yes
no
Details about pregnancy
Please select
Planned pregnancy
Pregnant 1st trimester
Pregnant 2nd trimester
Pregnant 3rd trimester
Are you breast-feeding?
yes
no
E-Mail
Please use Mail address
Password
Mobile
*Format: +41 7X XXX XX XX or +49 XXX XXXXXXXX
You will receive an invoice based on the German scale of fees for doctors (GOÄ). Privately insured patients can submit this invoice to their health insurance company (PKV) for reimbursement. Patients with statutory health insurance (GKV) use the service as self-payers. The patient can also present the invoice to the health insurance company for reimbursement and request reimbursement. Reimbursement lies within the discretion of the GKV.
I accept the
General Terms of Use
of Derma2go AG. The Derma2go AG privacy policy can be found
here
.
The patient and the requester have been informed about the
Terms of Use
and
Privacy Policy
and have accepted them.
The patient expressly consents to the requester transmitting the medical information obtained via derma2go to the requester and releases the evaluating dermatologist from his obligation of medical secrecy towards the requester.
Please send me revocable information about my skin, recommendations for the treatment of skin complaints as well as messages on quality assurance via e-mail.
I waive any prior information on the nature, extent, implementation, expected consequences and risks of the treatment as well as its necessity, urgency, suitability and prospects of success with regard to the diagnosis or therapy. I will not provide any further information on alternatives to the measure, in particular the alternatives to remote treatment.
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