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.

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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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May is National Skin Care Awareness Month: Click Here To Book Your Skincare Consultation Today!

Join us for SkinCeuticals live in-person event at our Fresno and Visalia offices!

Date: March 19th, from 8 AM to 5 PM

Location: Fresno office

 

 

Tuesday

Friday

Date: March 22nd, from 8 AM to 5 PM

Location: Visalia office

 

Experience a complimentary skin scope analysis by professionals and enjoy 20% off your customized skin routine during the event.

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