Schedule A Telehairconsultation

For patients seeking hair restoration procedure and scalp micropigmentation

Things to do:

1.Telehairconsultation appointment

2. Accomplish the CSQ

3. If you are decided to do the procedure: Rt-PCR test is a requirement

4.Schedule of Procedure is 7 days or more after negative Rt-PCR test.

Please read the guideline and instruction further details below

Teleconsultation Appointment :

Use of telemedicine: Telemedicine has become a very helpful tool during the pandemic crisis. It can be used to do the initial phase of consultations, follow-up visits, and pre-op preparation. The benefit is to reduce the number of people entering the clinic and to provide care to patients whose COVID status suggest the need to delay an in-person office visit. It is important to select a telemedicine platform that is secure and protects the confidentiality of the doctor-patient relationship. Governmental regulations permitting use of telemedicine have been expanded in many countries.

Please click HERE to book an online telehairconsultation appointment

Asian Hair Restoration Center and Arambulo Dermatology Center follow a “COVID-Protected Facility , strictly follow governmental guidelines for stay at home, social distancing, hand sanitizing, and use of masks/facial coverings.  In the interest of our patients seeking skin and hair problems treatment, we commit to following the general and universal international ,national and local governmental health authorities recommendations to help protect patients from getting infected with COVID-19 and inform patients of possible modifications that should be expected in their physicians/surgeons’ practices. 

Because COVID-19 is a respiratory pathogen and asymptomatic carriers are common with the infection, and we cannot identify asymptomatic carriers with complete certainty, we recommend renewed commitment to the utilization of Universal Precautions, including respiratory protection. Furthermore, these precautions need to be in place for every patient, and in every aspect of the clinic services (not just in the operating theater). 

 Only patients with prescheduled appointments are allowed to enter the facility ( walk-ins are discouraged ). 

Below are the forms to accomplish prior to telehairconsultation. Please read carefully and accomplish .

Medical History Form

Read the INITIAL INSTRUCTION: HAIR TRANSPLANT SURGERY

For those seeking face to face consultation with Dr. Arambulo please fill up and must submit 3x the CSQ. Read below.

Covid - 19 Patient Screening Questionnaire

1st form: on the day of teleconsultation

2nd form: on the day of clinic visit

3rd form: The Medical City COVID Screening Form. To avoid delay, please call my staff to send to you this in advance.

Minimize the number of people in the clinic. Companions are discouraged. Visitors present only for transportation should wait off-site until contacted at the conclusion of the visit. 

All patients, staff  and physician should have a symptom check and have a non- contact temperature check immediately upon entering the clinic. Anyone leaving and re-entering the clinic during the workday would repeat the temperature check. Patients and employees are discouraged from leaving the clinic during the workday hours. 

All entering the facility will wear masks, face shields , surgical cap isolation gown and booties ( clinic will provide) and immediately sanitize their hands. They should be worn at all times while in the clinic. Hand sanitization is required for providers and patients throughout the day. Regular sanitizing of hard surfaces, patient care equipment, and workstations to be performed by care personnel. 

Lysol spray is also available to disinfect the soles of the shoes

Record your temperature daily beginning three days before your consultation . Please notify the clinic if your temperature is > 37.7°C or 100°F.

For those who are scheduled for hair transplant procedure, must submit 3x the CSQ . Read below

Covid - 19 Patient Screening Questionnaire

1st form: on the day of teleconsultation

2nd form: on the day of procedure

3rd form: The Medical City COVID Screening Form. To avoid delay, please call my staff to send to you this in advance.

Record your temperature daily beginning three days before scheduled procedure . Please notify the clinic if your temperature is > 37.7°C or 100°F.

Request of Rt- PCR  at authorized facilities is for hair transplant patients only

Submit the Rt- PCR result prior to date of procedure

STRIP  or FUE hair transplant procedure is  scheduled   7- 8 days after negative  Rt- PCR test

All entering the facility will wear masks, face shields , surgical cap isolation gown and booties ( clinic will provide) and immediately sanitize their hands. They should be worn at all times while in the clinic. Hand sanitization is required for providers and patients throughout the day. Regular sanitizing of hard surfaces, patient care equipment, and workstations to be performed by care personnel. 

Masks, eye protection, shields, isolation gowns and booties should worn at all times 

Screening and Laboratory Testing 

COVID 19 screening questionnaire :The questionnaire helps in identifying patients with current or  infection or with current exposure and risk of infection. These patients should probably not be scheduled for appointments until their status has improved or been clarified, typically 14 days minimum. 

 Temperature monitoring :All patients and staff should have their temperature checked immediately upon centering the clinic. Those with fevers (> 37.7°C or 100°F) must be refused entry. 

Patients should monitor their temperature daily for at least 3 days before their appointment. 

Upon office entry, a staff member wearing a mask and gloves greets the patient and asks current symptom screening questions, checks temperature using thermal scanner, and offers hand sanitizer or wash, and/or gloves. Patients with a fever (> 37.7°C or 100°F) or current symptoms are not allowed to enter.

Request of Rt- PCR  at authorized facilities is for hair transplant patients only

STRIP  or FUE hair transplant is  scheduled   7- 8 days after negative  Rt- PCR test

There is NO utility to testing asymptomatic persons who just got exposed. We need to quarantine them for about 5 days before considering testing. Best time to test is 8 days post-exposure. Testing asymptomatic people without exposure to COVID-19 using RT-PCR is not advisable because of a high false negative rate without proper timing. https://www.acpjournals.org/doi/10.7326/M20-1495https://www.acpjournals.org/doi/10.7326/M20-1495

  Without the existence of reliable universal testing we must assume the patient is positive and use PPE Universal Precautions as appropriate. If and when testing becomes more reliable and available, it may be possible for providers  to adopt a universal pre-operative testing protocol and to monitor clinic staff. But, currently, we cannot make recommendations on routine use of testing. 

Despite screening results, it is still essential that we treat all patients as  contagious when they come to our clinics. 

Hair Transplant in The Medical City Clinic
Our clinic at the, The Medical City MATI Suite 112

Click this to know the guidelines and protocols for dermatologic teleconsultation with Dr. Arambulo : skin, nail , hair problems and aesthetic concerns

References

Infection Prevention and Control Guidelines for Outpatient Clinic Resumption in the Context of COVID-19 

Version 1.0, 17 May 2020 

  1. https://www.acpjournals.org/doi/10.7326/M20-1495

Cell phone travel and exposure monitoring apps :Apps are being use now in several countries around the work to track travel as a risk factor and to identify exposures. When a person registers with the app, their movements are tracked, and they are notified if they have been exposed. This adds a useful component along with screening questionnaires and lab testing to reducing exposure risk. Many are concerned about loss of personal privacy, but developers report privacy is still respected. Currently both Apple and Google have apps under development. 

A COVID-protected facility 

  • Routinely asks patients for a relevant COVID-19 history of their own health and their contacts. It is important that patients provide accurate information. 
  • Follows social distancing guidelines by limiting contact of patients with one another whether in consultation or in a procedure and will arrange waiting room seating accordingly. 
  •  Uses suitable equipment/PPE (Personal Protective Equipment) as recommended by the Center for Disease Control (CDC) or another equivalent governmental agency. Here in our country because the insufficient supply of PPE, AHRC will use the locally made PPE and  isolation gown made of recommended  water repellant material, microfibre.
  •  Routinely uses relevant health histories and daily temperature monitoring of all clinic staff and patients as part of their strategy to prevent contagion. Additionally, and where available, follows all government guidelines on use of testing to monitor staff. 
  • In addition to using proper PPE, it uses appropriate cleansing, disinfecting and sterilization procedures throughout the office/clinic. Also, uses proper waste disposal methods for any materials that could be contaminated. 
  •  Advises patients of hand washing protocols in the office/clinic and how to change gloves, gown and masks. 
  •  Assures the public that the staff have received additional training with regards to proper COVID-19 infection control methods 
  •  And perhaps most importantly, the surgeon you have chosen is the one performing the surgical steps of your procedure, rather than delegating it to unlicensed technicians. 

COVID Safety Protocols Reference

Please read further below.

  1. WHO Standard Precautions in Health Care and Health-care facility recommendations for standard precautions 
  2. CDC Guideline for Coronavirus Disinfection and Sterilization in Healthcare Facilities 
  3. COVID-19 Pandemic: ISHRS Suggested Protocols for Resuming Hair Transplant Practices ,https://ishrs.org/ Page 9 April 27, 2020   Developed by the ISHRS COVID-19 Task Force, led by Robert H. True MD, MPH, FISHRS, Re-entry Protocols Subgroup Chair 
  4. WHO Standard Precautions in Health Care and Health-care facility recommendations for standard precautions 
  5. CDC Guideline for Coronavirus Disinfection and Sterilization in Healthcare Facilities 
  6. PSMID-PHICS Risk Assessment of Surgery in the Context of COVID 19 Version1.0 26May 2020
  7. Philippine Society for Microbiology and Infectious Diseases Philippine Hospital Infection Control Society Philippine College of Physicians 

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