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—Please choose an option—Abu DhabiAl AinDubaiSharjahAjman
HydroquinoneTretinoin (Acretin, Retin-A, Atralin, Avita, Refissa, Renova, Retin-X, Vesanoid)Tazarotene (Tazorac, Avage, Fabior)Adapalene (Differin, Epiduo)Azelaic acid (Skinoren, Azelex, Finacea)Chemical peels (Glycolic acid, Salicylic acid)Laser treatmentNo
Please tell us if you have experienced any side effects
Please tell us which medicine? the dose? and if you have experienced any side effects
If yes, please tell us more (Who? What kind of skin cancer? At what age?)
FaceBackChestStomachArmsLegsOthersNone apply – I do not have dark spots, but I want to lighten my skin tone
Tell us more
MelasmaPost inflammatory hyperpigmentationSolar lentigo (liver or age spots)Drug-induced hyperpigmentationEczemaPsoriasisFrecklesNone apply
Tell us more, for example, where on your skin? What did the doctors say this was related to? Is it controlled?
Dark spots or lesions that are change in size, shape, or color over timeDark spots that are itching or painfulDark spots are raised, and I can feel them on the skin. They are NOT flat.Dark spots are spread over my whole bodyDark spots are related to a physical or chemical injury to the skinPatches or areas of skin that are lighter than my overall skin toneNone apply
Tell us more. What have you noticed? Where?
Tell us more.
PregnantBreastfeedingSkin cancerVitiligoXeroderma pigmentosumNeurofibromatosisHyperthyroidismAddison's diseaseHemochromatosisNone apply
Oral contraceptives (birth control)Hormone replacement therapy (HRT)Amiodarone (Cordarone, Pacerone)Hydroxychloroquine (Plaquenil)Doxycycline (Tetracycline antibiotics)Minocycline (Tetracycline antibiotics)Phenytoin (Dilantin)Chemotherapy agents (cancer medicines)None apply
Enter medicines names and reason for taking
Include vitamins, herbs, and over-the-counter products, like pain relievers and sleep aids and WHY you are taking them.
Out of pocketInsuranceupload emirates insurance details (if available)
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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.