PERSONAL MEDICAL HISTORY FOR ONYCHOMYCOSIS

Please complete the questionnaire and we will contact you as soon as possible for further information.

This test and the assessment are completed based on International Medical Standards.

Fields marked with * are required

1. On which area(s) are the lesion(s) you want to be treated?

2. How long do you have the warts on your finger(s)/toe(s)?

3. Have you had a cultivation of fungi?

If yes please report the result:

4. What is the colour of your nails at the moment?

5. Is the skin around the nail inflamed?

6. Have you injured your nail?

7. Do you have nail detachment?

8. Are your nails/toes fragile?

9. Do you suffer from excessive sweating?

10. Do you have feet malodour?

11. Are there any lesions on the areas between your fingers/toes or on your sole?

12. Do you suffer from thyroid disorders (hypothyroidism or hyperthyroidism)?

13. Do you have a history of lung, heart, liver and/or renal diseases?

14. Does eczema or dermatitis occur often to you?

If yes, please specify:

15. Do you receive medical treatment?

If yes, please specify:

According to medical confidentiality, we are committed to maintaining the privacy of medical and personal information entrusted to us and these data will not be published or otherwise used apart from the purposes of this assessment.

  • Athens

    49, Vas. Sofias Ave
    Metro station: “Evangelismos”
    Parking: Polis Park (Rizari)

    Τ: 210 72 42 600

  • MAROUSSI

    71, Kifissias Avenue
    15 parking spaces

    Τ: 210 61 00 900

  • OPENING HOURS

    Monday – Friday, 9:00 – 21:00
    Saturday, 10:00 – 15:00

IQ – Intensive Quality Dermatology ATHENS

49, Vas. Sofias Avenue, Athens
Metro station “Evangelismos”
Parking: Polis Park (Rizari)

Τ: 210 72 42 600
    210 72 34 230

E: dr.tzermias@gmail.com

IQ – Intensive Quality Dermatology MAROUSSI

71, Kifissias Avenue, Maroussi
Attiki Odos Ring Road
(Exit 11 “Kifissias” – Towards Athens)
15 parking spaces
Suburban Railway “Kifissias” station

Τ: 210 61 00 900

OPENING HOURS

We are open every day,
Monday – Friday, 9:00 – 21:00
Saturday, 10:00 – 15:00/p>

CERTIFICATIONS