Forms

Houston, Texas

New Skin Care Patient Registration

To expedite the admissions process, please print out and complete both forms prior to your skin care visit. Please feel free to bring the forms with you or fax ahead of time to (713) 791-9927.

 

Medical History Form

Patient Information Form

 

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For more information about skin care, please call
Dr. Friedman at DermSurgery Laser Center
(713) 791-9966

Click here to request an appointment for skin care

 

 

 

 

 

 

 

 

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ermatology - MOHS

7515 Main, Suite 210 | Houston, Texas 77030
Phone. (713) 791-9966 | Fax. (713) 791-9927 | Contact Us

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The information posted on this site should not be considered medical advice about cosmetic dermatology or any procedures offered and is not intended to replace a consultation with a qualified professional. For information about any service on the site, Contact DermSurgery Laser Center. Office Serving the Houston, Texas Area.
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