My Total SkinCare

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Dallas (NW Hwy & Preston): 214-373-3376 | Fort Worth: 817-921-2838
Dallas (Texas Health Hospital): 214-369-6411 | Weatherford: 817-594-5880
  • About Us
    • Practice Overview
    • Dr. Peter Malouf
    • Dr. Diego Marra
    • Dr. Steven Richardson
    • Dr. Faith Stewart
    • Jim Wheeler, PA-C
    • Nancy Smith, DNP, RN, NP-C, ANP-BC
    • Ashley Tinley, PA-C
    • Kelly Lee RN, MSN FNP-C
  • Services
    • African-American Skincare
    • Cancer Treatment
      • Mohs Surgery
      • SRT-100
    • Cosmetic Procedures
      • Injectables
        • Belotero
        • Botox® Cosmetic
        • Juvéderm
        • Radiesse
        • Restylane®
      • Laser Treatments
        • Fraxel®
        • Photorejuvenation
        • ActiveFX Laser (Laser Skin Resurfacing)
        • Laser Hair Removal
      • Med Spa Services
        • Microdermabrasion
        • Peels
        • Spectra Peel
        • Other Services
      • Minimally-Invasive Procedures
        • Mini-NeckLift
        • SafeLift™
        • Tumescent Liposuction
        • Sclerotherapy
        • Blepharoplasty
      • Tattoo Removal
    • General Dermatology Services
      • Eczema
      • Keloids
      • Melasma
      • Moles
      • Molluscum
      • Rashes
        • Acne
        • Dermatitis
        • Psoriasis
        • Rosacea
        • Warts
      • Ringworm
      • Skin Checks
      • Vitiligo
    • Hair
      • Alopecia
      • NeoGraft Hair Restoration
      • Laser Hair Removal
  • Press
  • Patient Forms
  • Locations
    • Dallas
    • Fort Worth
    • Weatherford
  • Contact Us
  • PCP Referrals

Patient Forms

Expedite your visit by printing out and completing these forms prior to coming to the office

Expedite your visit by printing out and completing these forms prior to coming to the office

Expedite your visit by printing out and completing these forms prior to coming to the office

Expedite your visit by printing out and completing these forms prior to coming to the office

All Patient Forms
1. Cosmetic Patient No Show Policy
2. Cosmetic Survey
3. HIPAA Disclosure
4. Notice of Privacy Practices
5. Medical History
6. Patient Financial Responsibility
7. Patient Information
8. Refund Policy

Contact Us


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