Dermatologist Dot Chart
CLn Samples are provided to physicians to help patients experience the benefits of our products. These samples are not intended for resale or consumer distribution outside of a clinical setting. To request samples, please have a licensed healthcare provider complete the form below and a representative will connect with you. Please enter a valid practice address (residential addresses may be declined), and avoid using duplicate email addresses.
If you have already requested samples and/or want to sample specific products, feel free to call us at 877-992-7425 or email sales@clnwash.com
At this time, samples are only available within the United States. * fields are mandatory
BRC TEST FORM Luis Reccomendations
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DO
PA
NP
RN
Other
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Email
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Allergy/Immunology
Athletic Trainer
Dermatology
Family Practice
General Practice
General Surgery
Infectious Disease
Internal Medicine
Med Spa
Nurse Practitioner
Obstetrics/Gynecology
Ophthalmology
Ortho / Sports Medicine
Pediatric Allergist
Pediatric Dermatologist
Pediatric Medicine
Physician Assistant
Plastic And Reconstructive Surgery
Podiatry
Radiation Oncology
Registered Nurse
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DO
PA
NP
RN
Other
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Specialty
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Allergy/Immunology
Athletic Trainer
Dermatology
Family Practice
General Practice
General Surgery
Infectious Disease
Internal Medicine
Med Spa
Nurse Practitioner
Obstetrics/Gynecology
Ophthalmology
Ortho / Sports Medicine
Pediatric Allergist
Pediatric Dermatologist
Pediatric Medicine
Physician Assistant
Plastic And Reconstructive Surgery
Podiatry
Radiation Oncology
Registered Nurse
Invalid value
Name
Suffix
Credentials
-Select-
MD
DO
PA
NP
RN
Other
Invalid value
Email
Specialty
-Select-
Allergy/Immunology
Athletic Trainer
Dermatology
Family Practice
General Practice
General Surgery
Infectious Disease
Internal Medicine
Med Spa
Nurse Practitioner
Obstetrics/Gynecology
Ophthalmology
Ortho / Sports Medicine
Pediatric Allergist
Pediatric Dermatologist
Pediatric Medicine
Physician Assistant
Plastic And Reconstructive Surgery
Podiatry
Radiation Oncology
Registered Nurse
Invalid value
Name
Suffix
Credentials
-Select-
MD
DO
PA
NP
RN
Other
Invalid value
Email
Specialty
-Select-
Allergy/Immunology
Athletic Trainer
Dermatology
Family Practice
General Practice
General Surgery
Infectious Disease
Internal Medicine
Med Spa
Nurse Practitioner
Obstetrics/Gynecology
Ophthalmology
Ortho / Sports Medicine
Pediatric Allergist
Pediatric Dermatologist
Pediatric Medicine
Physician Assistant
Plastic And Reconstructive Surgery
Podiatry
Radiation Oncology
Registered Nurse
Invalid value
Name
Suffix
Credentials
-Select-
MD
DO
PA
NP
RN
Other
Invalid value
Email
Specialty
-Select-
Allergy/Immunology
Athletic Trainer
Dermatology
Family Practice
General Practice
General Surgery
Infectious Disease
Internal Medicine
Med Spa
Nurse Practitioner
Obstetrics/Gynecology
Ophthalmology
Ortho / Sports Medicine
Pediatric Allergist
Pediatric Dermatologist
Pediatric Medicine
Physician Assistant
Plastic And Reconstructive Surgery
Podiatry
Radiation Oncology
Registered Nurse
Invalid value
Name
Suffix
Credentials
-Select-
MD
DO
PA
NP
RN
Other
Invalid value
Email
Specialty
-Select-
Allergy/Immunology
Athletic Trainer
Dermatology
Family Practice
General Practice
General Surgery
Infectious Disease
Internal Medicine
Med Spa
Nurse Practitioner
Obstetrics/Gynecology
Ophthalmology
Ortho / Sports Medicine
Pediatric Allergist
Pediatric Dermatologist
Pediatric Medicine
Physician Assistant
Plastic And Reconstructive Surgery
Podiatry
Radiation Oncology
Registered Nurse
Invalid value
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