Welcome to North Texas Dermatology

Plano Office

5805 Coit Rd. Suite 203
Plano, TX 75093

Richardson Office

3600 Shire Blvd. Suite 210
Richardson, TX 75082

Aesthetic and Laser Center

5805 Coit Rd. Suite 202
Plano, TX 75093

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Aesthetic Appointment Request Form

You may request an appointment using this online appointment form, or you may call our office at (469) 246-2062. Please allow us one business day to respond to your online request.

New cosmetic patients can save time by filling out our patient paperwork before you appointment. Download the forms, fill in the fields, print them off, and bring the paperwork with you to your appointment!

If you have any relevant medical records, please bring them with you to your appointment. You may also upload them using this form when you request your appointment.

**The Texas Medical Board (Ch. 193.17) and the Texas Department of State Health Services mandate that all aesthetic patients must have a current physical exam and a "prescription" for aesthetic and laser services by one of our medical providers annually prior to the delivery of any aesthetic or laser service(s).
Note: This form is not for people who need urgent medical care. If you or someone you care for has a medical emergency, please call 911 or go to the nearest emergency room immediately.
Please complete the form to request an Aesthetic Appointment

Aesthetic Appointment

  • Please indicate the reason for your visit, and your preferred day and time so that we can better accommodate your request:

  • Secure Upload Appointment Documents

* Required Fields