CosmediCheck

Member Concern Form

Do you have a concern or your unhappy with the level of service or professionalism you have received from a CosmediCheck member?

Please ensure you have followed our concerns step by step guide prior to submitting this form.

Your Details:

First Name *

Last Name *

Phone *

Email *

Date of birth *

Address

Street Address

City

State

Country

Postal code

Concern / Treatment Details:

Have You Already Had a Treatment or Service Completed? *

Yes

Full Name of the Individual *

Name of the Business or Clinic *

What was the Treatment or Service Requested / Completed? *

Address of where the Treatment or Service took place *

Date of Treatment or Service *

Nature of Concern / Issue: *

Communication or Response from the Individuals or Business: *

Steps you have taken to Resolve the Concern or Issue: *

Supporting Evidence *

Please Attach Any Relevant Documents or Evidence (e.g. photos, receipts, messages, screen shots or records.

I confirm that the information I have provided is accurate and complete to the best of my knowledge.

I also consent to CosmediCheck contacting the individual / business involved to discuss this matter.

I understand that CosmediCheck is not legally responsible for any treatment or service carried out, but may take action against members who breach our professional standards.

I also understand that false or misleading provided information may result in further investigations.

Your Signature: *

Clear

Next Steps:

Our team aim to acknowledge your concern within 3 - 5 working days.

If further details are needed, we will contact you directly.

Please note that CosmediCheck cannot offer refunds or legal advice, but we may suspend or remove a member / business who are found to breach our terms and conditions, along with our mandatory standards.

Thank you for helping us maintain a trusted, safe and professional community.