Acne
Before we are able to prescribe any creams for your acne, we are going to ask you some questions to ensure it is safe and appropriate for us to issue a prescription. A prescribing clinician who will then authorise the treatment reviews the answers to these questions
Before proceeding to the questions please tick the boxes below to consent
- You are currently suffering with acne
- You will only use one acne treatment at any one time
- You will alert us to any prescription medications you are taking or applying
- You agree to the terms and conditions
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How old are you ?
Has your acne been diagnosed by a doctor?
Are you sensitive to any of the ingredients within the creams?
Are you currently using any prescription topical creams for acne?
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Full Name
Date of Birth
Email Address
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