Consultation
for dermatological conditions

Skin Telephone Consultation

Patient details

Please complete the consultation as accurately as possible.

Are you completing the consultation for yourself?

Skin condition

Please complete the consultation as accurately as possible.

Have you been diagnosed this condition by a GP or dermatologist?
Are you experiencing any general symptoms such as fever, weight loss, aching joints or lethargy?

Not suitable for telephone consultation, please seek medical attention promptly.


Exit Consultation

Do you have any other medical conditions, including skin conditions?
Have you had similar skin condition before?
Any family history (past or present) of similar skin condition?
Are you currently using any treatment for this condition?
Are you taking any other prescription-only medicines, over-the-counter medicines, alternative medicines or recreational drugs?
Do you have any known allergies?
Do you have any conditions affecting your liver or kidney?
Are you currently pregnant or breastfeeding, or planning to have baby?
Are you currently registered with a UK GP practice?

Photo upload

Please upload at least 2 photos of affected areas - one close-up and the other from distance.

Caution:
Please do not upload photos of private parts.

By uploading photographs you are consenting to store your photos securely in your medical records.  

Consent