There are only a few steps to get started.
—Please choose an option—Abu DhabiAl AinDubaiSharjahAjman
Head/neckChestBackOther
Please specify
Less than a month agoBetween 1-3 months agoBetween 3-12 months agoMore than a year
YesNo
Enter medicine including name, dose and dosage form
ItchHurt (sore, tender or painful)BurnWeep/oozeOther
Does not apply - I'm a manAbout once a monthDon't have periods or they're changing because I've been through menopause or I'm near menopauseEvery 6 weeks or longer and not on birth control and not pregnantNone apply
Tell us more. How long have you had this? Have you seen a doctor for this?
Please list your drug allergies and what happens when you use that drug.
Please include any antibiotics, name of birth control, as well as any over-the-counter and herbal dietary or potassium supplements.
In order for us to provide you with the best care, please let us know what medications you take and what conditions you have.
NonePregnant or planning to become pregnantBreastfeedingHistory of kidney problemsHistory of liver problemsA diagnosed immune disorderOther
Tell us about any concerns or questions you have for the medical team.
Out of pocketInsuranceupload emirates insurance details (if available) Upload a Photo of your Emirates ID Upload Front Upload Back
Google MapDelivery Location Google Map: (Please Share your Google Map Link) Delivery Location Neighborhood/Area: Street Name/No: Address Details:
Our medical team will review your photos to better understand your skin concerns and recommend the best treatment. Their ability to diagnose your condition might be limited by the quality of your pictures.
Title: Mr.Ms. First Name: Last Name: Date of Birth: Mobile Number: E-mail:
After you submit your request, a licensed medical provider will review your information. You will be notified by email/contact number when that provider has reviewed your request and, if appropriate, made care recommendations.
