Contact - The Derm | Dermatologists in Cook County, IL

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Aesthetic Consult Form

Disclaimer: For patients scheduling who are under 18 years of age (19 in Alabama) please make sure you have permission from your parent or legal guardian to schedule this appointment. Your parent or legal guardian must accompany you on your initial visit and on certain subsequent visits to provide appropriate informed consent.

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- Acne/Acne scarring
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- Fine lines/Wrinkles/Texture
- Unwanted/Stubborn fat/Lack of muscle tone
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