For patients · dermalisnic.ro
The online consultation, step by step
You fill in a form, send a few photos, pay, and receive a written reply from a
dermatologist — with a prescription, referral letter or medical statement, if needed.
Almost anything in dermatology can start this way.
Whatever can’t be determined after I’ve looked — you don’t need to decide that in advance.
What can be resolved online
Almost everything. Dermatology relies, for the most part, on what can be seen and
what you describe — and a good photo together with your history covers most of the
situations people see a dermatologist for.
Usually resolved from photographs
- Acne, rosacea, folliculitis
- Seborrheic dermatitis, atopic dermatitis, eczema
- Psoriasis
- Urticaria (hives)
- Fungal infections of the skin, nails and scalp
- Hair loss and other forms of alopecia
- Warts, molluscum contagiosum
- Vitiligo
- Seborrheic keratoses, age spots, other benign lesions
- Nail changes
- Prescription renewal and treatment continuation
- Interpreting lab results requested at a previous follow-up
This list isn’t exhaustive — if your problem isn’t listed here, that doesn’t mean it can’t be handled.
You don’t need to diagnose yourself first
This is the single most important thing on this whole page, and it’s easy to miss.
Many pages like this ask you to decide for yourself whether your situation is
“suitable” for a remote consultation. But to do that, you’d already need to know
what you have — which is exactly the question you’re coming to a doctor for.
Poți trimite întrebarea direct prin consultație online prin formular.
So I don’t ask that of you. A spot that has changed, a mole that worries you,
something that appeared and doesn’t look like anything you’ve had before —
send the photo. A good share of the lesions people worry about are
resolved from the image, and the most common of them, seborrheic keratosis, is a
benign lesion that’s usually recognizable without a dermatoscope.
When it can’t be determined from a photo, I tell you exactly that and refer you for
an in-person exam. Triage is my job, not yours.
When an in-person exam is needed
Don’t send the form — go directly
- Difficulty breathing, swelling of the face, lips or throat
- A rash that appeared suddenly, spread across the body, especially with fever or feeling generally unwell
- Any emergency situation
These are the only ones you can recognize yourself, without being a doctor. That’s why they’re the only ones on this list. In any of these cases, call your local emergency number or go to the nearest emergency room.
May turn out to be needed after I look
- Lesions that need examination with a dermatoscope
- Lesions that need a biopsy or excision
There’s no way to know this in advance — that’s why I don’t ask you to. If it turns out to be the case, you’ll hear it from me, along with what to do next.
A reply that says “I need to see you in person” isn’t a failed consultation. It’s
its outcome, and it’s the most useful thing you could learn at that point.
How it works
Fill in the form
Your details, a description of the problem in your own words, any allergies
and treatments you’re already using, and photos of the affected area. Takes
about ten minutes.
Photos matter more than anything else: in natural light, no
flash, one close-up and one from about half a meter away, so the surrounding
area shows too. If you have a photo from a month ago, send that as well —
progression says a lot.
You pay
By card, on Stripe’s secure payment page. Card details never pass through
this site and never reach me directly.
If you close the payment page or change your mind, the request
deletes itself after 48 hours, photos included.
You receive your reply
Within 24 hours. If something is missing from what you sent — a clearer
photo, a detail about previous treatments — you’ll first get an email with
follow-up questions, then the reply.
By email you receive the documents as PDFs, plus a secure link
to your file. The same link also arrives automatically by SMS. You can open
it on your phone or computer, and print it at any pharmacy or copy shop,
as many times as you need.
You send progress photos
For 30 days after the consultation, you can send photos showing how things
are progressing, at no cost, from the same page. A
dermatology treatment is judged in weeks, not days.
If a change in approach is needed, you’ll find out without
starting the whole process over. This is different from a follow-up
consultation — that’s a new reassessment, with new documents, at the price
shown in the table below.
What you actually receive
A proper medical document, not an email with suggestions. Every document generated
carries the practice’s letterhead, your details, the doctor’s signature and stamp,
and a number from the consultation register — the same register that physical
in-person consultations are entered into.
What’s on the document
- Register no.
- The number and year under which your consultation is registered. Chronological and continuous.
- Series A
- Only on prescriptions that include an antibiotic — a separate series, required by current regulations.
- Your details
- Name, date of birth, address — filled in automatically from the form, so there are no transcription errors.
- Signature
- The doctor’s stamp at the end, plus a qualified electronic signature on the issued document.
Prescriptions issued from online consultations are private, not
reimbursed: the online service isn’t billed through any national health insurance
system. You can collect medication at any pharmacy in Romania, paying for it in
full, and — since the prescription carries the international (INN) name of the
medication — at pharmacies elsewhere in the EU as well.
What happens to your photos
This is the question that stops most people from filling in the form, and it
deserves a concrete answer, not a general reassurance.
Where the photos go
Into a server folder that isn’t accessible from the internet, with
randomly generated file names. They never appear in any public gallery on the
site and can’t be found by searching.
Who sees them
The doctor. No one else has an account that could open them, and
every time a file is opened, it’s logged.
GPS data in the photos
Phones write the location where a photo was taken into the file
itself. Photos are stripped of this data in your own browser, before
they ever leave your phone — so your home address never goes anywhere.
The page with your documents
The address is unique and impossible to guess, and the first time
you open it on a new device it asks for a verification code — usually your
date of birth, eight digits. It’s a check you can explain over the phone to
someone helping you, unlike a PDF password.
How long it’s kept
Medical records, including photos, are kept for 5 years from your
last contact, unless the law requires a different period. After that, they’re deleted.
If you want them deleted
Write to me. Your file, documents and photos, including thumbnails,
are permanently deleted. One nuance: for as long as the legal retention
requirement for medical records applies, the diagnosis and prescription can’t
be deleted — if that’s the case, you’re told exactly what remains and why.
Who else receives your data
The payment processor (Stripe) receives only the amount and your
email address, never medical data. No one buys or receives a patient list.
Pricing
200RON (≈ €38)
The first consultation for a new problem. Includes the issued documents and 30 days of progress-photo follow-up.
100RON (≈ €19)
Renewing a prescription or continuing a treatment started here, between 30 days and 6 months after the consultation. Free within the first 30 days.
500RON (≈ €96)
30 minutes of live conversation, with one follow-up included and 60 days of support. You choose the time in the form, before payment.
The price is the same no matter how many documents result from the consultation.
If your photos show that your problem needs an in-person exam, you’ll receive a
reply that says so — you won’t be asked to pay again just to find that out.
Full terms are in the cancellation policy (in Romanian).
Common questions
Is this a real medical consultation?
Yes. Remote consultations are regulated, and the resulting documents are
genuine medical records, with a register number, signature and stamp. The
difference from an in-person visit isn’t the legal status of the document —
it’s what the doctor can see: photos and your description, instead of a
direct physical exam.
At the start of the form you’re asked to confirm you’ve read the
informed consent for
remote consultations (in Romanian) — it states, briefly, exactly this limitation.
How long until I get a reply?
Within 24 hours. If something is missing from what you sent, you’ll first get
an email with follow-up questions — the clock then restarts from your reply.
Can I get antibiotics?
When the situation genuinely calls for it, yes — on a prescription with a
special regime, under its own series. Antibiotics aren’t prescribed on request
or “just in case”: antibiotic resistance is a real problem, and in dermatology
many infections are treated topically, without an oral antibiotic.
I lost the email with my document. What do I do?
Write to me and you’ll get a new link. The document isn’t lost: it stays on
file, and the link can be regenerated at any time.
Can I fill in the form for a family member?
Yes. The form has a field for the person filling it in on the patient’s
behalf, and you can ask for a copy of the documents to also be sent to your
own email. For a minor, the form is filled in by a parent or legal guardian.
I’m not a Romanian citizen. Can I still use this?
Yes. For citizenship you select “foreign” and enter your identity document
number. The form and all communication can be in English.
One thing to remember.
If something on your skin has changed and worries you, don’t wait.
Send the photo now, not in three months. Either it’s resolved from the image and
your mind is at ease, or you’re told you need to be seen — and in that second
case, those three months would have mattered.
This material describes the online consultation process at dermalisnic.ro and does
not replace a medical consultation. For emergencies, call your local emergency number.