Includes billing and delivery address details.
Login First (below) if needed
Dermedica Authorisation Form
You are now able to purchase some highly active skincare products that were not previously available online. These products are the Obagi Precriptive medical skincare range. Before you are permitted to purchase these highly active products we must ask you a few questions with regards to suitability of using these products. If you are an existing patients of Dermedica you will be authorised to purchase these products online by just indicating that you are an existing patient in the authorization form. If you are not an existing client of Dermedica you have to answer a few short questions to understand you needs and concerns before we can recommend a particular product for you.
Please complete the form below. You will be ask 4 questions so we can provide you with the best skincare to keep your skin looking young and healthy. It usually takes about 1-3 days to authorised your account. Our doctors may consult you to obtain further information about your concerns. We will send you an email once we have reviewed your account. You only have to authorise your account once then you are free to shop at Dermedica Skincare Store on all the restricted products all the time.
If you have not already registered or logged in please do so now using the login box on the left.
If you have already registered or logged in, please proceed to fill in the form below.