Contact us You must have JavaScript enabled to use this form. Indicates required field You are You areIndividualHealth professionalPharmacy, health & beauty store, wholesaler, grouping Individual If your request does not relate to Ireland, please click on this link. Subject of your message General information Request for advice: skin and products Product complaint Skin reaction Become a BIODERMA influencer Personal data Other If other, please specify If other, please specify Your message Your contact information Title Ms Mrs Mr Surname First name Your Email Telephone Postal address Postal address Address line 2 City County Postcode Country Date of birth Are you above the age of 15? To be able to submit a request, you must obtain your parents’ permission by asking them to tick the following box: I authorise my child’s personal data to be transmitted to NAOS Ireland (Bioderma) Health professional If your request does not relate to Ireland, please click on this link. Specify your profession Doctor Nurse Physiotherapist Dermatologist Paediatrician Other If other, please specify If other, please specify Subject of your message Question about one or more products Question about the skin Product complaint Partnership Personal data Other If other, please specify If other, please specify Your message Your contact information Title Ms Mrs Mr Surname First name Email address Address Postal address Address line 2 City County Postcode Country Pharmacy, health & beauty store, wholesaler, grouping If your request does not relate to Ireland, please click on this link. Are you a BIODERMA stockist? Yes No You are A pharmacy A health & beauty store A wholesaler A group Other If other, please specify If other, please specify Subject of your message Product information Commercial information Personal data Other If other, please specify If other, please specify Your message Your contact details Title Ms Mrs Mr Surname First name Email address Postal address Postal address Address line 2 City County Postcode Country CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. TERMS & CONDITIONS By checking this box, you acknowledge that you have read the Privacy Policy, you accept to be contacted by BIODERMA in the future and to transfer exploitation rights to Bioderma Ireland about this form, and in particular, the right to use, access and store your Personal Data. You have the right to access, edit or remove your data at any moment according to our Privacy Policy. SUBSCRIBE TO OUR E-NEWSLETTER I sign up to BIODERMA's newsletter to get a chance to win a Sensibio H2O each month and to receive all the updates of BIODERMA by email about product innovations, skin information, news and press mentions. NAOS Ireland (Bioderma) collects the personal data above in order to process your request. To learn more about the use of your data and your rights, please read the personal data protection charter.