Dose the patient being treated have any of the following conditions?

• The condition is very severe and the skin area affected is very large. The condition is stopping the person from functioning normally.

• Fever or excessive tiredness.

• Another infection is present that requires antibiotic treatment.

• Tried a treatment and it was unsuccessful.

• Decreased immune system function from medications or health conditions.

• Infection is on the scalp, fingernails, toenails, face, genitals or mucus membranes.

• The affected area is oozing pus.

• Diabetes.


Yes

No






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