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Doctor’s portal – Step 4

    End of Treatment - Acne Grade Assessment form

    Fill out the form for patients at the end of the study.

    How long has the patient used the product for?

    DOCTOR DATA

    PATIENT DATA

    PATIENT DATA





    Sebum production:

    Erythema:

    Dryness:

    Desquamation:

    Itching:

    Burning:


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