• Follow-up Patient Registration Form

  • This is a secure form. Upon processing this form you will receive a call from the office to arrange an appointment date and time. You may not be receiving a confirmation phone call if you were previously contacted about your appointment date and time. Please note that online registration forms submitted after 1 p.m. will be processed the next business day. Any forms submitted over the weekend, or holidays will be processed the next business day.

  • Damascus Dermatology is open Monday to Friday: 8 AM to 4 PM

  •  -  - Pick a Date
  •  -  - Pick a Date


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  • If your emergency contact information has changed, please enter the fields below:

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