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Obagi Nu-Derm Clear


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Obagi Clear is part of the Obagi Nu-Derm System Regiment and consists of 4% Hydroquinone which is also the active ingredient added to increase its effectiveness of improving uneven skin color, age & sun spots, melasma and various other hyperpigmentated skin issues. This medicine works by blocking the process in the skin that leads to discoloration.

This is a prescription product. You must complete all Good Faith Exam documentation forms and protocols in order for us to complete this order.

1. Fill out the HIPAA, Good Faith Exam, and Nu-Derm Consent forms online by clicking the Required Forms tab above

2. We will review your submission and contact you within 24 hours

If you have any questions, please call us at 510-522-7487 or email

Active: Hydroquinone (4%), Other: Purified Water, Glycerin, Cetyl Alcohol, PPG-2 Myristyl Ether Propionate, Sodium Lauryl Sulfate, Tea-Salicylate, Lactic Acid, Phenyl Trimethicone, Tocopheryl Acetate, Sodium Metabisulfite, Ascorbic Acid, Methylparaben, Saponins, Disodium EDTA, BHT, Propylparaben

Measure ½ to 1 gram and apply evenly to the entire face twice daily or as directed by your physician. Avoid contact with the eyes.

  • HIPAA Patient Form

    The following is a required "notice of privacy practices" (NPP) in keeping with Federal and State HIPAA requirements.
  • Overview of privacy issues:

  • The laws regarding privacy of personal health information are complicated. Federal regulations require your approval of a full NPP as part of receiving health services. To accomplish this, I will provide you with a copy of the full, legally required NPP and this shorter version, which summarizes the same information. Finally, there is a standard consent form that documents your agreement with the NPP. I am not permitted to provide treatment without an executed consent form. You also may have additional questions or concerns, including about situations not covered by this information, and you are encouraged to voice these. The health information in your records will be mainly used to provide treatment, to arrange payment for services, and for some other business activities that are called, in the law, "health care operations." Before private information can be disclosed (sent, shared, or re1eased) for any additional purposes, a separate authorization form is required to allow it.
  • Your health information is private and will be kept that way, but there are some times when the law requires disclosure. For example:
    1. When there is a serious threat to your health or safety or the health or safety of another individual or the public. Information would then be shared with a person or organization that is able to help prevent or reduce the threat.
    2. Some lawsuits and legal or court proceedings.
    3. If a law enforcement official requires to do so.
    4. For Workers Compensation and similar benefit programs.
    5. There are some other situations like these but which happen very rarely. They are described in the longer version of the NPP.
  • Your rights regarding your health information:

    1. You can ask me to communicate with you about your health and related issues in a particular way or at a certain place for more privacy. For example, you could ask me to call you at home and not a work to schedule or cancel an appointment. I will try my best to do as you ask.
    2. You can request that I limit what is disclosed to any people who are involved in your treatment or the payment for treatment, such as family members or friends. If I agree to the request, I would attempt to keep that agreement except if it is against the law, or in an emergency, or when the information is necessary to treat you.,
    3. You have the right to look at your health information, such as billing records or health records associated with your skin care. You can even get a copy of these, provided that you reimburse your provider for time and copy expenses involved.
    4. If you believe that any information in your records is incorrect or missing important information, you can ask to have some kinds of changes (termed "amending") to your health information. You would have to make such a request in writing and send it to the office, and you would also need to write the reasons that you want to make the changes.
    5. You have the right to a copy of this notice and to the longer NPP. If I make any changes to either form, I will post the new version in the waiting room, and you could always get a copy of the new NPP from me.
    6. You have the right to file a complaint if you believe that your privacy rights have been violated.
  • You can file such a complaint with me personally and with the Secretary of the Department of Health and Human Services. All complaints must be in writing. Filing a complaint regarding privacy will not in itself change the health care that you receive at this office. If you have any questions regarding this notice or the health information privacy policies at this office, please contact Skin Deep, or go to to find out more information.
  • Date Format: MM slash DD slash YYYY
  • I have read and understand the above Notice.
  • Nu-Derm Program Consent

    The creams must be used in the prescribed fashion according to the written instructions and descriptions given to me. I understand that I will experience varying degrees of the following symptoms:
    Dryness - Redness - Exfoliation/Peeling - Itching - Sensitive Skin - Burning - Wrinkles May Look Worse - Acne May Look Worse

  • These symptoms will lessen and eventually subside as my skin builds tolerance.

  • I agree to continue with the use of the Nu-Derm products and to return for follow-ups as directed. Doing so will help with my safety and provide adjustments towards maximizing results.

  • I understand the best results are achieved with adherence to the program over several weeks and/or months.

  • I understand that excessive application of the products or picking, rubbing the skin can cause a great deal of discomfort and even blistering, especially in the early weeks of treatment. If any reactions are initiated to the point of skin breakdown or infection, I will contact the office immediately. Careless inattention to such reactions may result in complications such as infection, injury, discoloration, or possible superficial scarring.

  • I understand that it is necessary to maintain the use of my prescribed Nu-Derm protocol throughout the treatment period and also during the maintenance period. This is necessary to retain the benefits during the program.

  • I understand that no guarantee or assurance has been given to me as to the results that may be obtained.

  • I understand a sunscreen of at least SPF 30 is to be used on a daily basis and to practice sun safe guidelines when outdoors.

  • I understand that I must adhere to the guidelines prescribed.

  • I have read and fully understand the above, received satisfactory answers to my questions, and had a chance to discuss alternative treatments.
  • Date Format: MM slash DD slash YYYY


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