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Send Email to Physician
Renew Medi Spa
Dr. Lisa Hatzos, MD
For Assistance, Call Us Toll Free: 866-576-3483

By submitting this form, you will be emailed (to the email account you provide below) a certificate for a Free Screening at a participating facility. Once you receive the Free Screening Certificate via email, please print it out and present it to the clinic to be redeemed. You can also call Renew Medi Spa at 866-576-3483 and mention DermaNetwork.org to schedule your Free Screening. Please note that the Certificate is not to be used in combination with other promotional discounts offered at this facility.

Please provide us with the following information and someone from this facility will contact you.
* Indicates required information.

Your Information:
* First Name:
* Last Name:
* Email:
* Home Phone:
Work Phone:
Address:
City:
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How soon are you seeking treatment?
What type of treatment are you interested in?

Acne Treatment
Blue Peel
Botox®
Chemical Peels
Dermabrasion
Dermal Fillers
FotoFacial™/IPL Treatments
Genesis Skin Rejuvenation
Juvederm
Laser Resurfacing
Laser Hair Removal
Lip Enhancement
Microdermabrasion
Perlane
Radiesse™
Restylane®
Skin Care & Cosmetic Products
I would like information, including announcements or special promotions.
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( Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the physician. )
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