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Date of birth

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IE · Rosacea · Full

This form is for ongoing facial redness, flushing, spots, or visible blood vessels consistent with rosacea. Please upload a clear photo — this helps the doctor confirm the pattern (rosacea doesn't have blackheads/whiteheads the way acne does) and choose the right treatment. If you have eye symptoms alongside your skin symptoms, please seek urgent care, since that needs prompt in-person eye assessment.

About your skin

Please upload a clear photo of your face

Which best describes what you're experiencing? (select all that apply)

Persistent redness and flushing in the centre of the faceVisible small blood vesselsSpots or pustules (without blackheads/whiteheads)Thickening or swelling of the skin, especially around the nose

Do you have any eye symptoms alongside this — pain, redness, light sensitivity, a gritty or foreign-body feeling, or blurred vision?

How long have you had these symptoms, and what triggers seem to make it worse? (e.g. sun, heat, alcohol, spicy food, hot drinks, stress)

Are you currently using, or have you recently used, a steroid cream on your face?

What have you already tried for this? (select all that apply)

Nothing yetTopical treatmentOral antibiotic

Your health

Could you be pregnant, are you trying to conceive, or are you breastfeeding?

Do you have any liver disease, particularly severe or advanced?

Do you drink alcohol regularly?

Are you currently taking warfarin or another blood-thinning medication?

Do you have heart disease, Raynaud's phenomenon, scleroderma, low blood pressure on standing, depression, or are you taking a MAOI antidepressant?

Any known allergy to metronidazole or azelaic acid?Write "None" if you have none.

Patient address

Required for medical documents and any physical materials.

Street addressApt / unit (optional)CityEircode (optional)

Data sharing consent (GDPR)

I confirm the details above are accurate and consent to a video consultation with the selected clinician.I consent to my personal and medical data being processed by Global Health and shared with its treating clinics and medical network — including clinics in other countries — for the purpose of my care, service improvement, and security. Privacy PolicySend me appointment updates via WhatsApp (optional)

Rosacea Treatment

Rosacea Treatment

About your skin

Your health