Contact Us - The Melasma Clinic

Let’s get startedGet in touch with us

The best way to get in touch with us is through an application process. As we only take in 10 new patients per week, the wait time varies, however we will endeavour to see you in a timely fashion.

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This field is for validation purposes and should be left unchanged.

Name*

Email*

Phone*

Residence*

What is your ethnicity?*

How long have you suffered from pigmentation?*

Pigmentation type*

Upload up to FOUR pictures of your pigment in natural light with no makeup.*

Drop files here or

Accepted file types: jpg, gif, png, pdf, heic, jpeg, Max. file size: 2 MB.

Photos & clinical information is treated with the utmost confidentiality. This form is designed to expedite your application process for an appointment with our clinicians.

Following review by our clinicians, we may grant you an appointment, should you want to see us. If our team is not taking on new patients, we will suggest a practitioner that may assist you.

What have you tried so far to treat pigment?*

Skin care

Prescription skin care

Chemical peels

Lasers

IPL or BBL

Microneedling

Others

Anything else you might want to add?*