Eczema and Dermatitis

Eczema and Dermatitis are skin conditions that result in redness, itchiness, and inflammation in certain areas of the skin. The conditions are often caused by coming in contact with an allergen such as pollen, dust, detergents, or certain food.  Eczema and Dermatitis may also be triggered by other factors such as cold weather. Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.




To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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At least 72 hours
A week
A month
More than a month










It's the very first time
It's been a year and a half
Between one and five years
Five years or more


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Male
Female
Transmale (Born a female)
Transfemale (Born a male)

Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding


Just this once
About 18 months
Around two to five years
Five years or more

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