This is a general referral form for healthcare providers to refer patients to Rejuvenation for expert consultation on dermatological and/or plastic surgery concerns.

Please select a clinic from the options below to access the corresponding referral form.

This is a rapid referral form for healthcare providers to refer patients to Rejuvenation for expert consultation on urgent dermatological concerns, only.

Please select a clinic from the options below to access the corresponding RapidDerm Clinic referral form.

Which clinic are you interested in contacting to schedule an appointment?

To inquire about services or book an appointment, please reach out to the Medical & Cosmetic Dermatology Clinic at 778.262.0880 or the Plastic & Reconstructive Surgery Clinic at 778.262.1575 by phone or text.

For any inquiries about services or to schedule an appointment, please reach out via phone or text to your local clinic.

Which clinic are you interested in contacting to schedule an appointment?

Which location are you planning to visit?