E-mail consultation with a specialist physician

A specialist physician will call or email you concerning your medical problem.
If needed, you will receive an e-prescription. It is possible to receive a sick leave.
It is recommended to enclose pictures or test results.

Note

A physician will do his or her best to advise you based on the information you send, but not every health problem may be diagnosed without a physical examination.

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Please provide your correct email address
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5. Information about the patient required for medical records and an e-prescription, if needed

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This field is required, if the patient has no PESEL number

Address

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6. Detailed description of the patient’s medical problem.

    Answering the following questions may help describe the problem:
  • What are the symptoms?
  • Is there pain, itching, burning?
  • When and how did the symptoms start?
  • Is it the first time that such symptoms have developed?
  • Were these symptoms treated before and how?
  • Did anyone in the family have similar conditions?
  • Does the patient have any other medical conditions, especially: liver or kidney diseases, hypertension, diabetes, heart attack, stroke, coronary disease, cancer, psoriasis, albinism, AD, confirmed allergy, other
  • What regular drugs does the patient take?
  • Does the patient smoke or drink alcohol?
  • Is the patient on a diet?
  • Patient’s weight and height
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7. It is recommended to enclose pictures, test results or other information
  • jpg/png/pdf file
  • Max. size 5MB
  • You can add multiple files
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8. Fill in the fields below, if you want to receive an invoice

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