This form should not be used to relay medical information. It is provided to send NON-MEDICAL QUESTIONS ONLY. Instead all medical questions and information should be submitted when you REGISTER and send your case using DermUtopia’s HIPAA compliant platform.
Phone: (703) 229-2544
Fax: (209) 759-4655
Participating Insurances
Billing questions contact Shelley Reinoehl
Additional patient forms