Committed to serving our patients through the COVID-19 crisis Teledermatology

Request an Appointment

Please complete the following questionnaire and a Patient Care Coordinator will be in touch with you shortly to confirm your appointment. Thank you for choosing The Clinic for Dermatology & Wellness, we look forward to caring for you.

  • Your Information

  • Date Format: MM slash DD slash YYYY
  • How Did You Hear About Us?

  • Insurance Information

    *NOTE: We accept all major insurance plans, except AllCare
  • Please List Your Preferred Date & Time for an Appointment:

    Hours of Operation: Tuesday thru Friday 7:30am to 5:30pm