Information for Doctors

This form is to request samples for your office to pass out to you patients and your staff to try.

If you are going to pass out samples to patients they are going to want to know where to purchase it.

If no, which pharmacy/drug store(s) would be most convenient for your patients to purchase it at?

We will contact these pharmacies and when they order we will notify you so you can tell your patients where to purchase
it locally.

It will help us make Skin MD Natural™ available locally if you tell these pharmacies that you are passing out samples of Skin MD Natural™ to your patients and they need a place to purchase it locally.

If you do this we will send you a 4-oz size bottle of Skin MD Natural™ at no charge. Go to This web address will automatically be emailed to you as a reminder. We will send you a 4-oz bottle of Skin MD Natural for each pharmacy you speak to.