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SCHEDULE A CONSULTATION

First Name*
Last Name*
Phone*
Email*
Procedure of Interest*
Message*
Untitled*
- By providing my contact information I agree that I may be contacted by DermAtelier on Avenue for further information including appointment availability, scheduling and referral information.
Untitled*
- I have read and understand the clinic cancellation policy including the need to give 24 hours notice in the event of a cancellation or rescheduled medical / cosmetic appointment, otherwise a fee of $75 (medical) / $150 (cosmetic) will apply prior to rebooking.