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.

Request An Appointment

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

Office Information

Office Hours

Mon - Fri: 8:00am - 5:00pm
Closed Weekends

Location Map:

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