Acne

Help us understand the severity of your acne

At what age did your acne begin?

What areas of your skin are affected?

Do other family members have acne?

What things or situations make your acne better?

What things or situations make your acne worse?

What have you previously tried?

Have you tried any of these over-the-counter medications?

Have you tried any of these topical medications?

What oral medications (pills) have you tried?

Have you tried any treatments in the past? If yes, what was your treatment and was it successful?

Have you experienced any side effects with the medications you have tried in the past?

Let's find the right treatment for you

Do any of these apply to you?

If you are taking birth control, please list the medication and how long you have been taking it.

Is there anything else related to treatment that you'd like to ask or discuss with your medical provider?

Do you have a preferred treatment?

Would you like to share anything else with your provider through an upload?