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Total Skin & Beauty
Dermatology Center
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Home
About Us
Our Locations
Our Physicians
Our Physician Assistants & Nurse Practitioners
Our Leadership Team
Careers
Services
Aesthetic
Cosmetic
Medical
Surgical
VIP Membership Program
Mohs Surgery
Shop Online
Patient Resources
Blog/Specials
Contact Us
Aesthetic / Cosmetic Appointment Request Form
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First
Last
Phone Number
*
Email
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Cosmetic Appointment Type
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Botox/Dysport
Cosmetic Filler
Aesthetic Service/Treatment
I'm not sure yet, but would like a call back
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Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Phone Number
*
Email
*
Cosmetic Appointment Type
*
Botox/Dysport
Cosmetic Filler
Aesthetic Service/Treatment
I'm not sure yet, but would like a call back
Date Range of Requested Appointment
*
Comments/Notes
GDPR Agreement
*
I consent to having this website store my submitted information so they can respond to my inquiry.
Name
Submit
CONTACT US
MAIN OFFICE
1927 1st Avenue North • Suite 200
Woodward Building
Birmingham, AL 35203
205.933.0987
GARDENDALE
931 Sharit Ave. • Ste. 201
Gardendale, AL 35071
205.933.0987
TRUSSVILLE
4913 Deerfoot Pkwy.
Trussville, AL 35173
205.380.6161
UAB MEDICAL WEST
975 9th Ave. SW • Ste. 210
Bessemer, AL 35022
205.380.6163
BUSINESS HOURS
Monday - Friday 7:30 A.M. - 5:00 P.M.
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