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Doctor Online Appointment ( No Pay)
Your Online consultation with our Dermstrata dermatologists Start's Here!!!We will send a confirmation email containing a summary of your appointment and payment details for our Php 500 consultation fee.
20Questions
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    Pick a Date
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    Please Select
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    • ------NATIONAL CAPITAL REGION (NCR)------
    • NCR
    • ------Region I (ILOCOS REGION)------
    • Ilocos Norte
    • Ilocos Sur
    • La Union
    • Pangasinan
    • ------Region II (CAGAYAN VALLEY)------
    • Batanes
    • Cagayan
    • Isabela
    • Quirino
    • Nueva Vizcaya
    • ------Region III (CENTRAL LUZON)------
    • Bataan
    • Bulacan
    • Nueva Ecija
    • Pampanga
    • Tarlac
    • Zambales
    • Aurora
    • ------Region IV-A (CALABARZON)------
    • Batangas
    • Cavite
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    • Quezon
    • Rizal
    • ------Region IV-B (MIMAROPA)------
    • Marinduque
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    • Bohol
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    • Siquijor
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    • Biliran
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    • Leyte
    • Northern Samar
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    • Samar (Western Samar)
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    • Zamboanga del Norte
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    • Isabela City (BASILAN)
    • ------Region X (NORTHERN MINDANAO)------
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    • ------Region XII (SOCCSKSARGEN)------
    • Cotabato (North Cotabato)
    • Sarangani
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    • Sultan Kudarat
    • Cotabato City (MAGUINDANAO)
    • ------Region XIII (CARAGA)------
    • Agusan del Norte
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    • Dinagat Islands
    • Surigao del Norte
    • Surigao del Sur
    • ------AUTONOMOUS REGION IN MUSLIM MINDANAO (ARMM)------
    • Lanao del Sur
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    • ------CORDILLERA ADMINISTRATIVE REGION (CAR)------
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    You May Select as Many as you like
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  • 9
    or do you have a record with us? So we can fully communicate to our doctor your records with us
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     *Explain your concern in detail. Where is it located? How long have you had this problem? Have you had these concerns before? How has it progressed through time? What are the accompanying signs and symptoms? Are there any trigger factors or symptoms? You may take a picture by moving on to the next question
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    This is so that we can fully asses your skin related concern, As some medicines may have some side effect to the Skin
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    Please type in your other information
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    due to a high volume of Appointments we will try to fit you in with our doctor at your preferred time. A skin Representative will contact you if any changes regarding your appointment will be made
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    Sorry due to transaction wide issues we can only accept Online Bank Transfer (BPI)
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    Please Choose a Platform so that we will send you the link of your Virtual Consultation (Zoom Requires app download)
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    For Bank Transfer Payments, 
    The consulatation fee is P500.00


    A Skin Care Representative Will contact you to Assist you on payment & patient verification.

    Once payment has been fully transferred to our account you may send us a screenshot of the proof of transfer through our Facebook Page. A copy of the instructions will be sent together with the summary of your consultation details to the provided email address you entered.

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  • 19

    Terms and Conditions
    Verification of Information

    Please Verify if the following information is correct &
    if you agree to the terms & conditions stated below click/tap on "Next"

    (A copy of this will be sent at your email ( {emailAddress} ))

    Doctors Online Appointment Request

    Thank You, {name} for Sending us your Appointment Request, Please note that our Skin Care Representative will call you to verify and if needed reschedule your appointment. Please keep your Mobile open for our call as soon as possible.we will be processing your request during business hours (8AM-5PM, Monday -Friday) and the next day for outside business hours 
    APPOINTMENT INFORMATION
    Date & Time of prefferred Appointment  Reference # Virtual Consulatation Platform
    {yourPreferred} {id} {modeOf}

    Please note that your Appointment is subject to change due to the high demand of our doctors. We will do our best to fit you in on your preferred time. If your time and date is subject to change rest assured that our Skin Care Representatives will contact you Immediately. 


    PATIENTS PERSONAL INFORMATION

    Patients Full Name Birthdate Sex
    {name} {birthdate} {gender}

    CONTACT INFORMATION

    Email Address Contact Number
    {emailAddress} {mobileNumber}
    Please Keep your Lines and Email Address Open as we will contact you to verify your appointment and Payment Confirmation

    Home Address {address}


    PATIENT HISTORY STATEMENTS
    Current Patient of Dermstrata Skin Concerns for Consultation
    {input6} {whatAre}

    Reason Concerned Topics and Photo

    Complaints regarding concerns Photo of Concerned Area
    {whatAre9}   Feature Not available

    Other Medical Information
    Medications that patient is intaking Other Medical Information to
    furthur assist the assigned Doctor
    {pleaseList} {otherInformation}

    Mode of Payment: {preferredMode}

    Thanks for choosing {preferredMode} a Skin Care representative will call you to complete the transaction.


    TERMS AND CONDITIONS
    Any changes that you would like to request such as but not limited to; Change of Schedule Medical Information Changes or Contact Number, you may message our Dermstrata Facebook Page to get in touch with our Skin Care Representatives

    In case of rescheduling without a fixed date your payment to our doctors is valid up until 2 weeks after your reservation.

    When payment is confirmed, and Online Consultation has been transacted refunds is longer applicable.

    rescheduling your appointment requires 1 day in advance notice to our doctors in order to make adjustments to their schedules.

    Due to Signal and Internet Intermittent issues that may arise during your consultation. Our Doctor may recommend to the patient that the call maybe transferrred to cellular number (voice) and still counts as a successful valid consultation.

    Your preferred Online Platform may not  be available due to 3rd party system issues we therefor will contact you of a change of platform if needed.

    Once Transaction has been fully made please prepare and download the necessary app (messenger ) on your phone/tablet/pc with a decent Internet Connection Signal.

     

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    Kindly Wait for a confirmation email containing a summary of your consultation details. Please make sure to pay the consultation fee within 24 hours after receiving the appointment request email.

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