Book Your Appointment

1. What is your current skin concerns?

Choose an option

2. Are you currently using any prescription medications on the skin?

Choose an option

3. Have you already tried oral medication and/or topical treatments without success?

Choose an option

4. Have you ever been diagnosed with skin cancer and or Melanoma?

Choose an option

5. Have you had a skin cancer check in the last 2 years?

Choose an option

6. Have you ever had an allergy or reaction to retinol, tretinoin or a vitamin A derivative?

Choose an option

7. Are you taking any of the following medications?

Choose an option

8. Are you pregnant, breast feeding or trying to get pregnant?

Choose an option

9. If you are a woman of reproductive age, will you be sure to use an appropriate method of contraception if prescribed a medication that is not safe during pregnancy?

Choose an option

10. Do you consent to upload and save a photo of your acne to assist with your management?

Choose an option

11. Are you currently located in Australia?

Choose an option

12. Do you understand everything that is written above or do you require assistance or language interpretation?

Choose an option
Back