EOI

1. Your details

First name *

Surname *

Date of birth *

Email *

Mobile *

2. What is your main concern?

Please select the ONE MAIN reason you are contacting me.

Scars

Redness / vascular concerns

Pigmentation / brown marks

Sun damage / photoageing / rejuvenation

Sun damage on the face
Sun damage on the chest / neck Age spots requiring laser treatment Photoageing / skin rejuvenation Sunspots for laser-based management only

Cosmetic injectables

Antiwrinkle injections
Soft tissue injectables including Rejuran Collagen modulating dermal injections

Birthmarks

Red vascular birthmark
Brown birthmark
Other birthmark

If other, please briefly describe

3. How long has this been present?

4. Have you had treatment before?

No Yes

If yes, what have you tried?

Briefly describe what helped or did not help

5. Any further comments

The more information you give me, the better I can help you.

Additional information

6. Please upload photographs

Please upload three clear photographs of your concern.

Front-on view
Side or angled view
Close-up view

Use natural lighting where possible. Please avoid makeup, filters, flash, or heavy shadows.

Uploaded photographs are of absolute privacy and are stored away from public viewing in a secure network.

Upload photos *

Please upload at least three images where possible.

7. What happens after you submit this form?

After reviewing your form and photographs, Dr Lim will personally recommend one of the following:

In-clinic consultation: You may be offered an appointment to see Dr Lim in clinic for complex conditions which cannot be managed virtually.
Virtual consultation: You may be offered a virtual consultation if suitable for assessment or planning, or to expedite the efficiency processes for both the clinic and yourself.
Treatment booking: You may be offered a booking for treatment on the day, where appropriate.
Decline or referral elsewhere: Your concern may be declined or redirected if it is outside Dr Lim’s scope, interest, or expertise.

Submitting this form does not guarantee that consultation or treatment will be offered.

8. Consent and disclaimer

I confirm that the information I have provided is accurate to the best of my knowledge.

I understand this form is for screening only and is not a diagnosis, treatment plan, or medical consultation.

I understand that Dr Lim focuses on procedural, laser and cosmetic dermatology, and does not provide general medical dermatology care through this pathway.

I consent to my photographs being reviewed for the purpose of determining whether Dr Lim may be able to assist.

Photographs are uploaded through a secure portal and are private. They are stored within a secure network and will not be publicly displayed under any circumstances.

Dr Davin Lim does not treat active acne, general medical dermatology, hair loss or hair conditions, paediatric / children’s dermatology, self-harm scars, stretch marks, genital dermatology, rashes, infections, eczema, psoriasis, mole checks, skin cancers, or urgent medical concerns through this pathway.

EOI