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Send Email to Physician
Innovations Med Spa
by Bill J. Johnson, MD
For Assistance, Call Us Toll Free: 866-290-9551

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 Innovations Med Spa at 866-290-9551 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:
State:   Zip:

How soon are you seeking treatment?
What type of treatment are you interested in?

Acne Treatment
Blue Light
BOTOX®
Captique
Chemical Peels
Cosmoplast/Cosmoderm
Dermal Fillers
Epidermal Leveling
FotoFacial™/IPL Treatments
Fraxel
Genesis Skin Rejuvenation
Laser Resurfacing
Laser Hair Removal
Laser Liposuction
Lip Enhancement
Microdermabrasion
Radiesse™
Restylane®
Skin Care & Cosmetic Products
Smart Lipo
Thermage®
I would like information, including announcements or special promotions.
Enter a message you would like to add in this e-mail:
( 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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