Patient Forms

Since we value your time as we value your skin, please review the following information prior to your visit so we can focus our time on your skin care needs. Please print all pages, complete, and return by mail, e-mail, or fax prior to your next appointment. You may also just bring the completed forms to your first visit.

Mailing address: 7095 N. Recreation Ave.,
Fax Number: (559) 233-6647
Email: [email protected]

New Patient Registration Form

Notice of Privacy Practices and Patient Consent Form are for your review and do not require printing, unless you would like to retrain a copy for your records.

REMINDER: Please bring all insurance cards and photo identification on the day of your appointment.

Book an Appointment

Please fill out the form below or give us a call to schedule your appointment.

What happens in a consultation?

01. Get to know Dr. Paz and his dermatology team.

02. Discuss your unique goals and concerns.

03. Receive a personalized procedure plan.

How may we help?

* All indicated fields must be completed.
Please include non-medical questions and correspondence only.


Our Locations

7095 N. Recreation Ave.
Fresno, CA 93720

128 N Akers
Suite C.
Visalia, CA 93291

Office Hours

M-F 8:00am - 5:00pm

Contact Us

FRESNO 559-233-3376

VISALIA 559-385-2133

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Join us for Skinceuticals Day!

Free Skincare Analysis & 20% Off SkinCeuticals

Date: Tuesday, July 25th
Location: 7095 N. Recreation Ave. Fresno, CA 93720
Discount honored at Visalia location (in-person consultations and discount honored at our Fresno office)

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