ADVERSE REACTION

Product Return Request Form

At Dermal Health Science, we stand by the quality of our products and are committed to your satisfaction. If you are unhappy with your purchase, we’re here to assist with the return process. Please complete this form to request a return, and our team will guide you through the next steps. Kindly provide the details of your purchase and the reason for your return. Once submitted, we’ll review your request and contact you shortly to finalize the process. Thank you for choosing Dermal Health Science, and we look forward to resolving any issues.
cuStomer ID
Full Name*

First NameLast Name
name
Mobile Number*
e.g: +27 797 123 4567
E-mail*
Your email address
What is the preferred way to contact you?*

EmailPhone

Order / Purchase Details
Where did you buy your product/s?*

Online from this websiteFrom a Practice
Thank you for your selection. Please note that we can only facilitate returns for products purchased directly from our website. If you bought the product from a medical practice, kindly contact the practice where the purchase was made to request a return. Each practice has its own return policy and guidelines, which will need to be followed for product returns. If you have any further questions, feel free to reach out to our customer support team for assistance.
Last order date:

DayMonthYear
Date
your latest order number is:
Is this the order number with the product/s referred to in your return request?*

yes, that is correctno, the return request refers to a product from another order
What was your order number?*
Order number:*
Date:

DayMonthYear
Date

Thank You for bringing this to our attention {first_name}

We sincerely apologize that you experienced an adverse reaction. Your health and safety are our top priorities, and we’d like to learn more so we can better assist you.

Please complete our Adverse Reaction Report Form. This will help us understand the situation and provide the appropriate support.

Please remember that we’re here to assist you every step of the way.
We sincerely apologise for the inconvenience you're experiencing {first_name}

We understand how frustrating it can be when a product doesn’t dispense as expected. The issue may be related to our advanced airless packaging technology, designed to protect the integrity and potency of our active ingredients.

The airless pump delivery system vacuums the product up to the top to dispense it, instead of pumping it through a tube or straw. This design prevents excess oxygen from coming into contact with the formula, protecting the ingredients inside and keeping contaminants out.

Tips for using our airless pump bottles:
- You might experience empty pumps before the product comes out. This is completely normal for airless dispensing systems. (Some bottles may take up to 10-30 pumps to get going.) Don't open the bottle. This can damage the airless pumping mechanism.
- If you are not getting any product after five pumps (or 10-30 if your bottle was unused for a while), you should prime the pump. To do this, put the cap on, hold the bottle upside-down, and gently tap the top of the bottle against a flat surface.
- Having trouble with your bottle even after priming it? Continue to submit this form. We are always happy to help.