Your Consultation

Your Consultation - Debora Tentis Clinic

Please provide a brief health and skin overview to help us prepare your order. This is not a medical consultation.
ABOUT YOU
Full name (first name and last name)

First NameLast Name
Date of birth
Please use DD/MM/YYYY format
Before we prepare your order, we'd like a little background about you. This is a brief health and skin overview, not a medical consultation. Share whatever you're comfortable with, there are no right or wrong answers. If our healthcare professional needs anything else, we'll be in touch by email or WhatsApp within 24 to 48 hours.
For example: health conditions, current medications, supplements, allergies, dietary restrictions, smoking, or alcohol. Share as much or as little as you're comfortable with.
For example: skin conditions, known allergies or sensitivities, products you currently use, or any skin treatments you have had in the last 30 days.
PRODUCTS YOU WANT TO ORDER
Which brand or service are you interested in?
AllSkin Med - Select your products
SkinBetter Science - Select your products
Intolerance Testing - Select your test
Estimated total
This is an estimate based on the products you have selected. Delivery is not included. We will confirm your final total and send you a payment link before anything is dispatched.
Have you used these products before?
If yes, when did you last use them?
YOUR HEALTH
Are you pregnant or breastfeeding?
Do you take any prescription medications?
Please list them, or write None.
Do you take any supplements?
Please list them, or write None.
Do you use any clinic-only or prescription skincare?
For example: tretinoin, prescription azelaic acid, medical-grade products dispensed by a clinician. Write None if not applicable.
Allergies
Please list any known allergies to skincare, medications, supplements, or other substances. Write None if not applicable.
Past and present medical conditions
Share as much or as little as you are comfortable with. Write None if not applicable.
YOUR CONSULTATION
What are you looking to address with this product?
When was your last consultation with a clinician?
Approximate date or month and year is fine.
Please add any details about your health that may help us with your order
For example: your cycle, skin conditions, digestive issues, or anything else you think is relevant. Share as much or as little as you are comfortable with.
RECURRING DELIVERY
Would you like to receive this product on a regular basis?
Important: Clinic-only products are non-refundable once dispatched. This does not affect your statutory rights in relation to faulty or incorrectly supplied items. If you experience a reaction or sensitivity after use, stop using the product immediately and contact the manufacturer directly, their details are on the product packaging. You are also welcome to contact us at contact@deboratentis.com.
We will set this up manually and send you a payment link each time. No automatic charges.
Email address
example@example.com
WhatsApp number (optional)
Include your country code
Full delivery address
Including house number, street, town and postcode. This is where your order will be posted.
Best way to reach you if we need anything else
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Your Consultation - Debora Tentis Clinic

ABOUT YOU

PRODUCTS YOU WANT TO ORDER

YOUR HEALTH

RECURRING DELIVERY