4716 Alliance Blvd., Suite 150Plano, TX 75093Phone: 469-467-MOHS (6647)Fax: 469-467-6648
New Patient Form If you are a new patient and have scheduled an appointment, please download and complete the following form:
Please complete and bring this form with you to your appointment.
Physician Referral Form If you are a physician's office and would like to refer patients for dermatologic surgery, please download, complete, and fax the following form:
Please fax the completed referral form to 469-467-6648.
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