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Send Email to Physician
Smooth Solutions Medical Aesthetics
Dr. Jack Bertolino, MD
For Assistance, Call Us Toll Free: 866-442-4046

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 Smooth Solutions Medical Aesthetics at 866-442-4046 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.
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Your Information:
* First Name:
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Work Phone:
Address:
City:
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How soon are you seeking treatment?
What type of treatment are you interested in?

Acne Treatment
Acoustic Wave Therapy
Blue Light
Botox®
Chemical Peels
Dermal Fillers
Dysport
FotoFacial™/IPL Treatments
Fractional Resurfacing
Fraxel
Fraxel re:pair
Herbal Medicine
Juvederm
Laser Resurfacing
Laser Hair Removal
Laser Liposuction
Latisse
Lip Enhancement
LipoDissolve
Lipotherme
Liquid Facelift
Mesotherapy
Microdermabrasion
Nutritional Counseling
Perlane
Photodynamic Therapy
Profractional Resurfacing
Radiesse™
Restylane®
Skin Care & Cosmetic Products
Skin Rejuvenation
Smart Lipo
Titan®
Vaser Liposelection
I would like information, including announcements or special promotions.
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