Book a Free Cosmetic Consultation

At Victoria Park Medispa (The Derm Centre), we offer one-on-one consultations with our experienced and knowledgeable consultants in order to develop an individualized and customized treatment plan.

Our treatment plans work to address short-term and long-term goals, while continuing to keep you looking natural and radiant. Our consultants will discuss a variety of industry leading treatments from laser treatments to injectables to skin care, that will leave you full of knowledge and eager to start.

Our goal as a team is to make you feel comfortable and confident from the moment you book your consultation, all the way through your treatment plan, while achieving a natural result that has you looking and feeling your best.

DO NOT FILL OUT THIS FORM FOR MEDICAL CONCERNS. THIS FORM IS STRICTLY FOR COSMETIC INQUIRES ONLY.

If you require a "Medical Appointment" (ie: Acne, Psoriasis, Moles, Warts, or other medical skin concerns) please visit Medical Appointments

Your Appointment Information

* Preferred Appointment #1 (Day / Time / Week):

* Preferred Appointment #2 (Day / Time / Week):

* I would like an appointment concerning:

If you wish, please comment on your cosmetic concerns:

Your Contact Information

* First Name:

* Last Name:

* E-mail:

* Phone:

* Date of Birth: (mm-dd-yyyy)

* Choose which one best describes your level of interest:

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The information contained in this communication is intended solely for the use of the individual or entity to whom it is addressed and others authorized to receive it. It may contain confidential or legally privileged information. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by responding to this email and then delete it from your system. The Clinic, physician, or staff are neither liable for the proper and complete transmission of the information contained in this communication nor for any delay in its receipt.

There are risks associated with email communication, and it is recommended that encryption software be used as a security mechanism. By sending or replying to emails with the clinic, the physician or the physician's staff, you are consenting to and accepting the risks of unencrypted email correspondence.

Book a Free Cosmetic Consultation

DO NOT FILL OUT THIS FORM FOR MEDICAL CONCERNS. THIS FORM IS STRICTLY FOR COSMETIC INQUIRES ONLY.

If you require a "Medical Appointment" (ie: Acne, Psoriasis, Moles, Warts, or other medical skin concerns) please visit Medical Appointments

Electronic Communications Warning