Please fill in the form below
Mail it to us by clicking the send button at the end of the form. We will send you our hyperhidrosis pack with information on treatments available. This will only be sent by email.
Name
Address
Country
Zip/Post Code
Telephone
Fax
Email
Please state how long you have suffered from Hyperhidrosis and where, specifically your hyperhidrosis is: ie hands, feet, underarms etc
Please state if you have used, or are you using, any treatment for your Hyperhidrosis at present
