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General Conditions Questionnaire

General Conditions Questionnaire

Algorithms by Dr Davin Lim

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General Conditions Questionnaire

(All conditions apart from acne scarring)

YOUR DETAILS

What is your name?(Required)
What is your primary concern?(Required)

* Acne consultations: The aim of this consultation is to provide you with a strategic management plan for your skin. I do not prescribe medication for acne as my work is entirely procedural. Medications such as the oral contraceptive pill, anti-hormonal medications & isotretinoin all require close monitoring. A medical dermatologist can assist in prescriptive medicine.
How long have you had this problem?(Required)
Have you had treatment for this problem before?(Required)
If yes, please elaborate, including success and/or failures.
Are you currently using any topicals or oral medication on your skin (gels, creams, serums, lotions, tablets, herbs etc…)?(Required)
If yes, please elaborate.

Photo requirements

Photos are crucial to ascertain a diagnosis. The clearer the better. Please provide a series of between 5 to 8 photos in good lighting.

Here is a super quick 2 minute video that shows you how to take clinically sound photos.

Many thanks for taking the time to complete this questionnaire. The more information you can provide the better I can understand how to formulate a treatment plan for you.

For record keeping purposes, you may record the consultation from your end. This may assist you in recalling the points discussed. Additionally I will provide you with written recommendations during the consultation. This will be sent to you in real time.

Disclaimer: a virtual consultation is a compromise that bridges the gap between no consultation & a real time consultation. The accuracy of a diagnosis depends largely upon photographs, however some aspects of skin are difficult to capture on static photographs. Examples include shadowing of contours, reflectance of light, ability to visualize redness, & 3D spatial concerns. Dr Davin Lim

Drop files here or
Accepted file types: jpg, jpeg, png, pdf, heic, Max. file size: 50 MB, Max. files: 20.

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