We do not undertake the clinical triage of any presented symptoms or conditions disclosed to us electronically or by telephone prior to a consultation with a health professional. Therefore, you must not use the DermaGP service for emergencies or urgent conditions, such as (but not limited to) those listed below, as this may delay necessary treatment.

• has severe difficulty or are not breathing
• is having a heart attack or stroke
• has severe chest pain
• has severe abdominal pain
• has severe bleeding
• has lost consciousness
• is in an acute confused state and/or is having fits which aren’t stopping
• is in suicidal distress

The service is not a replacement for your own GP. You may still need to see your own GP or contact the emergency services.  If, in the course of a consultation, the clinician determines there is imminent risk due to a medical condition, they will encourage you to, and / or take action to, activate emergency services.

Where the clinician suspects there is a risk of harm to yourself or others, they will act in accordance of law and notify appropriate authorities

We may not be able to provide a full service if you suspect you may be or are pregnant. DermaGP has defined the duration of pregnancy to be from conception to 8 weeks post-delivery.

If you are pregnant and book a consultation, we will complete that consultation and the GP will use their professional judgement when assessing next steps.

DermaGP’s policy is that we should not provide medical advice or diagnosis for conditions that may be impacted or influenced by the fact you are pregnant. For the avoidance of doubt, and where this is the case, our policy is to signpost you back to your own GP or maternity care provider by default, as pregnancy impacts on many conditions for which a telemedicine service is not well suited to make a safe diagnosis or offer treatment, including advice.

It is also our policy that should you declare to us that you are pregnant or have had a positive pregnancy test, we will signpost you to a local GP or maternity care provider to arrange a ‘booking visit’ and antenatal care if you have not already done so.

The clinician does not have access to your full medical records and therefore any advice or treatment options given are based on information you provide during the consultation.

It is your responsibility to ensure that any information you provide is honest, accurate and lawful. If you choose to withhold relevant information from the clinician, it could affect care they are able to give and they may not be able to provide additional services to you, such as medical prescriptions, referral letters or medical certificates.

DermaGP and the consulting clinician cannot be held responsible should the information you provide be inaccurate or incomplete.

We are not responsible for your routine or ongoing care, so it is in your best interests that if the clinician asks for permission to share information regarding the consultation with your own GP, that you agree. Should you not give us consent to do so, please be aware that the clinician may feel that it is not safe to proceed with any treatment or referral options discussed.

Providing images or relevant documents can, where appropriate, help the consulting clinician to make a diagnosis. Should our patient care team think it would be helpful, they will send you an email with instructions on how to provide them.

Photographs of an intimate nature must not be sent to us. Please do not send any images of areas of the body which would normally be covered by a bikini or swimming trunks.

Please be aware that the quality of any images or documents you send may not permit a diagnosis and that any you provide are for the sole purpose of the consultation.

Images and Documents sent to us will be processed and stored in accordance with our Privacy Policy.

Preparing for your consultation

At the time of your consultation, you should ensure you are somewhere private. You must not be driving or using any machinery which means you cannot give the doctor your full attention.

The clinician will terminate the consultation if they feel you are putting yourself at risk.

Appointments can be booked through DermaGP app, website or via email/whatsapp.

Payment processing services are provided by Redsys and will be subject to its terms of use and privacy policy.

By inputting payment details, you are consenting to the payment details being processed by Redsys. When you provide payment details, you must have the appropriate authority to use your chosen payment method. If you have any questions relating to these Services, please contact us at patient@dermagp.ie.

You agree to DermaGP, through their payment intermediary Redsys, pre-authorising your debit card, credit card or digital wallet (“your card”) with the charge for the service. Your card or wallet will be charged after your consultation. Failure of the pre-authorisation process will prevent the service being booked. Any unpaid balance shall become payable within seven (7) days of completion of your appointment.

If you cancel your booking once you have scheduled an appointment, there will be a charge applied. 

If you are unhappy with the consultation contact admin@drvictoriahowe.com to request a review of the consultation and any associated charge.

The availability of our online services cannot be guaranteed as mobile data and internet connections are controlled by third parties with whom DermaGP has no direct relationship or contract.

If the content of any electronic communication you send to us is inappropriate and/or abusive we will take whatever action is appropriate, including reporting the incident to our legal department, who provides you with access to our services and if required to do so by law, to the relevant law enforcement authorities. We do not tolerate any abuse of our staff in any form.

When a video appointment is confirmed we will send you an email with a link to access the service. Very occasionally, email systems can experience delays outside our control.You will also receive notification on your phone when the consultation is due to commence if you have granted permission to do so.

Should a video consultation not be possible for any reason, the clinician will initiate or attempt to continue the consultation over the telephone.

The clinician reserves the right to terminate the video consultation in the event of any inappropriate behaviour.

Video consultation is the primary channel for providing DermaGP consultations.  In the event where a video consultation cannot proceed due to technical or other issues, the clinician will attempt to continue the consultation via telephone. If this occurs, where possible, we recommend that you use a land line for a telephone consultation as mobile reception quality is often variable. If you have call barring set up on your phone, we recommend using a different line as it is possible that your service provider could block the clinician’s call to you.

If this service is available to you, the diagnosing clinician can offer you a private prescription where they feel that prescription medication could assist you in treating your symptoms.

Private prescriptions will only be raised:

• If you are located in the Republic of Ireland, Spain, Italy, Germany, Switzerland and The Netherlands. Prescriptions are also accepted in South America. 
• At the sole discretion of the clinician
• During a telephone or video consultation
• If it is safe, clinically appropriate and in your best interests
• If it complies with our prescribing policy

Please be aware that some medications cannot be prescribed remotely, and the clinician will advise you if they are unable to do so.

In the absence of possession and knowledge of your medical records and follow up care, except for the contraceptive pill in the Republic of Ireland, the service is not suitable for issuing repeat prescriptions.

If you are unable to satisfactorily answer the clinician’s questions, then they may not be able to raise a private prescription.

Our clinicians can only issue private medical prescriptions, so please be aware that Medical Card, Long Term Illness Scheme and the Health Amendment Act Card prescriptions do not apply, and any costs associated with fulfilment will be met by you.

Fulfilling a private medical prescription is at the sole discretion of the dispensing pharmacist and DermaGP is not responsible for any refusal to dispense.

The clinician will automatically offer you the option(s) below to which you are entitled.

For patients in the Republic of Ireland, if it is an option made available to you by the clinician, we will ask you to nominate a local pharmacy to fulfil the medical prescription.

We will send the private prescription directly to the pharmacy and you will receive a notification on your phone that the prescription has been sent to the pharmacy. We will also contact you to advise when it is ready for collection.

Please be aware that we will have no knowledge or control over the pharmacy charges for fulfilling the private medical prescription.

In certain exceptional circumstances, we may offer you a digitally secure medical prescription by email for a nominated pharmacy.

You must present this to your nominated pharmacy, acting as the intermediary between us and them, unaltered and with the instructions included in the email you receive with the prescription. Fulfilling an electronic prescription is at the sole discretion of the dispensing pharmacist you present it to, and DermaGP is not responsible for any refusal to dispense.

When choosing to receive an electronic prescription, please be aware that we will have no knowledge or control over the pharmacy fulfilment charges.

We are unable to provide a prescription outside of the Republic of Ireland.

Should the clinician feel it necessary, they can provide you with an open referral letter to a:

• Public hospital emergency department or
• Private or public consultant in the stated speciality.

Please note you will be charged for a private consultation subject to your policy benefits.

Referral letters will be emailed directly to you on request.

Medical Certificates

If it is clinically appropriate, the clinician can issue a medical certificate.

You will need to check with your employer to confirm that they will accept one.

Medical certificates cannot be used to access state funded sick pay or benefits (social welfare payment). You can only get a Social Welfare Certificate from your GP.

Medical certificates can be emailed directly to you on request.

Following your consultation with a GP online and upon request, you will be issued with a Consultation report and, if clinically appropriate, the following documentation:

• Medical certificate
• Referral letter

You should ensure that any device you use to access your post consultation notes is suitably protected from potential interception.

Consultations notes for a child under 16 are available only to the parent or legal guardian.

A complaint is an expression of dissatisfaction either written or verbal that requires a response, which can be made by letter, by email or by telephone.

Should you wish to make a complaint or would like to raise a concern you can do so by contacting DermaGP directly on the telephone number you have been given to access the service or by writing to DermaGP as follows;

DermaGP

16, Warner´s  Lane

Ranelagh

Dublin 6

Alternatively, you can e-mail your concerns directly to our Patient Care Team at admin@drvictoriahowe.com

You will be notified as soon as we receive your complaint or concern, we will then be in touch as we deal with your complaint according to our complaints procedure.

An acknowledgment letter or email will be sent within 5 working days to you following receipt of a complaint notifying you as to the proposed time scale to receive a response.

Nothing herein excludes or limits our liability for death or personal injury caused by our negligence or for fraud or fraudulent misrepresentation or for any other liability which cannot be excluded or limited under applicable law. Nothing herein shall affect your statutory rights.

Except as may be expressly set out in these terms, all conditions, representations, and warranties relating to the service are excluded to the maximum extent permitted by law.

We shall not be liable for any defects or errors in the services, nor interruptions in or unavailability of the services, nor any breach of any obligations due to a cause beyond our reasonable control.

When using our services, except to the extent permitted by law, we shall not be liable for:

• any loss, damage or distress incurred by you arising from reliance on information or the availability of the services; or
• any indirect, consequential, or economic loss, damage or distress incurred by you (including any such loss, damage or distress arising from unauthorised use of or damage to your data or content); or
• any consequential loss, damage or distress incurred by you arising from where you have not provided us with a full and accurate medical history or where you withhold any relevant information; or
• any loss, damage or distress arising from use or attempted use of the services for emergency or urgent conditions or any consequential delays to necessary treatment.

Our total liability to you in connection with the services whether under contract, tort, statute, common law or otherwise (and including for negligence or wilful default) shall not in any circumstances exceed stg £5,000.

For the avoidance of doubt, the provision of our services shall be governed by and construed in accordance with, the laws of Ireland and each of the Parties submits to the exclusive jurisdiction of the Irish courts.

Correct as of 13^th September 2021 and subject to change.