Evren OZDEMIR

Patient Admission Protocol During Covid-19

On the way to the clinic

Upon entering the clinic, you will be asked to disinfect your hands and clean them properly with soap and water.

Within 14 days, we will postpone the treatment of patients who have been in contact with someone with symptoms such as fever, cough, loss of smell and taste, and difficulty breathing. We also ask you to inform us and cancel your appointment if you develop flu symptoms.

We constantly ventilate the working area. We would like to remind you to dress cautiously during the winter months.

If you are coming to our clinic for the first time, it will be convenient for you to fill out the anamnesis form online during the pandemic period. You can find the form below.

If You Have Been To Our Clinic Before...

Name Surname*

Identification or Passport Number *

* I have read and accept the General Consent Text

ANAMNESIS FORM

Name Surname*

Identification or Passport Number *

Blood Group *

Date of Birth *

Job *

Address *

Telephone *

Telephone Number of a Relative (For Required Cases) *

E-Mail *

Do you get any medical or medicine treatment? *

Are you using any hormonal medication?. *

Do you or did you experience any systematical disease? *

Cardiovascular *

Diabet *

Tension *

Epilepsia *

Cardiac rheumatism *

Articular rheumatism *

Guatr (Tiroid) *

Blood patients*

Drug allergy *

Asthma *

Nephrotic or heparic patients*

Lung patients *

Sinusitis *

Did you get any radioteraphy for your head and neck? *

Do bleeding take long after surgical operation or any injury? *

Do you have any health problem? *

Do you have a permanent doctor where you are cheked regularly ? *

Name, Surname *

Telephone *

Pregnancy, miscarriage, menstruation, menopause information for females : *

* I have read and accept the General Consent Text