top of page
Patients

To file a report, you don't need to be registered. Registration automatically occurs when you save the report. In order to book a visit with a doctor, you must indicate that you require medical assistance and you must wait for a doctor to take on your case. You'll be notified by mail when that happens. Use the credentials you entered in your report to log in and book a visit.

1

1

File a report

In order for doctors to better understand your condition, please fill in the following form as accurately and completely as possible.

Your identity and all uploaded documentation will be verified before making it available to the doctors. Should one of them then decide to manage your case, you will be notified by e-mail.

We strongly advise you to pick a nickname which will be the only personal information visible to doctors. Your full info will only become available to the doctor(s) who takes on your case.

* - Fields with a red asterisk are required.

ENTER THE FOLLOWING INFO

HEALTH INFORMATION

Height (cm)*

Weight (kg)*

Pathologies*

Family doctor : 

Other medical info : 

FINAL INFORMATION

I require medical assistance*

Indicate whether you need a doctor to get in touch with you.

1200px-Infobox_info_icon.svg.png

Enter a password you'll use to book your visits and read your messages.

Password*

1200px-Infobox_info_icon.svg.png

Repeat password*

I have read and agree with the Privacy Policy and the Terms of Use.*

I'm a paragraph. Click here to add your own text and edit me. It's easy.

COVID INFORMATION

Symptoms*

Leave empty if you still have symptoms.

Start date : 

End date : 

1200px-Infobox_info_icon.svg.png

Sought help from : 

Treatment : 

Time before treament : 

Outcome : 

Other info : 

VACCINE INFORMATION

Date : 

Brand : 

Shoulder : 

Vaccine damage*

Lot number : 

Other side effects : 

Symptoms appeared after : 

On a scale of 1 to 10, where 1 is the least impactful and 10 is the most, how ding to your general health do you consider this damage to be?

1200px-Infobox_info_icon.svg.png

Invalidating : 

Vaccine certificate : 

Upload
2048px-No_image_available.svg.png

Medical documents : 

Upload
2048px-No_image_available.svg.png

PERSONAL INFORMATION

Last name*

Remember your nickname. You'll need it to log in to book your visits and read your messages.

First name*

Nickname*

1200px-Infobox_info_icon.svg.png

Date of birth*

Country of birth*

City of birth*

Street address*

Country*

City*

Postal code*

Mobile number : 

Email*

Personal ID*

2048px-No_image_available.svg.png
Upload

Photo : 

2048px-No_image_available.svg.png
Upload

Select the language and click the arrow to add it. Click on the added language to remove it.

Spoken languages*

1200px-Infobox_info_icon.svg.png

2

Book a visit

Lock
Patient :
Doctor :
Booking with :
circles-menu-1.gif
Booking with :

ATTENTION: This doctor is currently not available. To book a visit, please check back soon or revoke the doctor in order to be seen and taken on by others.

Steps to booking an online visit with a professional on ICSReport:

  1. Select a date

  2. Select one or more half-hour time slots

  3. Get your Google Meet link(s)

Instructions:

  1. Select a date.

  2. Select one or more time slots. Keep in mind that your doctor's timezone may be different than yours. Once selected a time slot, you may undo the selection by simply clicking the time slot again.

  3. If you wish to book visits on other dates, repeat steps 1 and 2.

  4. If slots turn blue, it means that other patients are in the process of booking those slots. Patients have a 3 minute time limit to complete the booking process, after which the slot is automatically released. If you're interested in someone else's time slot, you may wait until either their booking is confirmed or canceled. If confirmed, the blue slots will turn red, otherwise they'll return to green and you my proceed with booking.

  5. You have 3 minutes to complete your transaction. If the timer runs out, you'll need to restart.

I'm a paragraph. Click here to add your own text and edit me. It's easy.

Booked by you

Available

Doctor unavailable

Momentarily blocked by another patient

TIME LEFT

00:00

 MON            TUE            WED            THU              FRI              SAT            SUN

00.00

01.00

02.00

00.30

01.30

02.30

03.00

03.30

04.00

05.00

04.30

05.30

06.00

06.30

07.00

07.30

08.00

09.00

08.30

09.30

10.00

10.30

11.00

11.30

12.00

13.00

14.00

12.30

13.30

14.30

15.00

15.30

16.00

17.00

16.30

17.30

18.00

18.30

19.00

19.30

20.00

21.00

20.30

21.30

22.00

22.30

23.00

23.30

Selected slots:

You haven't booked any visits yet.

Cost per visit :

Visits booked :

Total cost :

Cost per visit :

Cost per visit :

Cost per visit :

You pay :

Cost per visit :

Click PAY NOW or scan the QR code

NOTE: Once booked, visits can be canceled according to the Payment section of the Terms of Use.

3

Revoke my doctor

Lock

By revoking your doctor, you are placing your report back on the main list so all doctors will see it and be able to take you on as a patient. All booked visits with the current doctor will remain in effect and  you may still proceed with any eventual Google Meet appointments you may have booked, but no reimbursement will be given. Once revoked, all notes taken by the current doctor on your case will remain on your record for the next doctor to see.

Do you still wish to proceed?

circles-menu-1.gif