Atopic Dermatitis - StudySpec

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Atopic Dermatitis Pre-Screening Form

Studying new therapies for managing skin inflammation and itching.

Have you been diagnosed with atopic dermatitis by a healthcare professional?

Are you currently using topical creams or other treatments for your skin?

Do you experience severe itching or skin irritation?

Full Name

Date of Birth

Gender

Contact Number

Email Address

Address

Height

Weight