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.
© Copyright 2019 Texas Skin Surgery Center, P.A.
4716 Alliance Blvd, Suite 150, Plano, TX 75093
Phone: 469-467-MOHS (6647)