EMPIRE On Doc Demand

Orthopedics morning meeting

Please fill in your medical history data and be confident that all what you type is confidential only your doctor will view it

Are you the patient? Or are you related to them e.g. you are their father, mother, son, daughter, wife, husband etc.? Please mention.

Age of the patient

When was the last time patient was well?

Main issues

Any past history of similar issues?

Are there any known medical conditions? Did you do any surgeries before? Please mention if any with details

Is there a history of taking any medications? If yes, please mention them with their dose, frequency and reason of taking them.

Is there any history of contact with sick patient?

Is there any similar condition in family, colleagues or coworkers?

N.B. you’ll be able to attach your pictures or videos of clinical findings you have when chatting with your doctor The cost of Doctor On-Demand service is $50 with follow up with same doctor, Please select how would you like to pay:

Credit or Debit Card

Paypal

Name on card

Card Number

Card Expiry

CVV

Remember this card

Complete payment and proceed for the chat with the doctor