Welcome to North Texas Dermatology
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Locations

Plano Office

972-769-8180
5805 Coit Rd. Suite 203
Plano, TX 75093

Richardson Office

469-326-3376
3600 Shire Blvd. Suite 210
Richardson, TX 75082

Aesthetic and Laser Center

469-246-2062
5805 Coit Rd. Suite 202
Plano, TX 75093

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DALLAS, TX
UV INDEX
02/18/2019
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Patient Forms

New Forms are required starting in 2018 for for all patients. You can download and fill them out to bring with you, or you can arrive 30 minutes prior to your appointment time to fill them out at the office. You must also bring your Driver License/Photo ID AND your current insurance card(s) including Medicare cards to each visit.

Aesthetic & Laser Center Patient Questionnaire

**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/or laser services by one of our medical providers annually prior to the delivery of any aesthetic or laser service(s).