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*Blackwater Private Clinic offers a Bespoke Prescription Skin Service. Please describe your skincare needs, including Allergies and Medication history:

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Alumier Registration

Please fill this registration form, afterwards, you will be redirected to the Alumier MD Skin Care website

*Name

*What are your skin care concerns?

Acne

Eczema

Anti-Aging

Psoriasis

*Date of Birth

*Skin Type

Dry

Oily

Combination

Sensitive

Are you Pregnant or Breastfeeding? (Vitamin A/Retinol) is contraindicated in these groups.

Yes

No

*Blackwater Private Clinic offers a Bespoke Prescription Skin Service. Please describe your skincare needs, including Allergies and Medication history:

*Email

Phone Number

*For Customers in the Republic of Ireland, please contact the clinic directly to complete your order.

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Armagh BT61 9BT
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Dergmoney House, 41a Dublin Rd,
Omagh BT78 1HE

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Home
Women’s Health
Specialty Clinics
Ear Microsuction
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Private GP Consultation
Nurse Services
About Us

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