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Strati ca Dermatology 200, 10140 117 Street Edmonton, AB T5K 1×3 T. 780.428.5554 F.780.428.5556 www.StraticaMedical.caDermatology Referral Form Date: Patient LabelPatient DemographicsLeave below
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01
Visit the Stratica Dermatology website or office to obtain the necessary forms.
02
Fill in personal information such as name, address, contact details, and insurance information.
03
Provide details of medical history, current medications, and any allergies or skin conditions.
04
Answer any specific questions related to your skin concerns or reasons for seeking dermatological treatment.
05
Review the completed form for accuracy and completeness before submitting it to Stratica Dermatology.

Who needs stratica dermatology?

01
Individuals experiencing skin conditions such as acne, eczema, psoriasis, or other dermatological issues.
02
People seeking treatment for cosmetic concerns like wrinkles, sun damage, or unwanted tattoos.
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Anyone looking for professional skincare advice or personalized treatment plans for their skin concerns.
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Stratica dermatology is a specialized field of dermatology focused on the diagnosis and treatment of various skin conditions using advanced strategies and technologies.
Individuals or healthcare providers involved in the practice of stratica dermatology are typically required to file documentation related to their practices.
To fill out stratica dermatology forms, you need to collect patient information, document diagnoses, treatments provided, and follow any specific formatting guidelines set by regulatory bodies.
The purpose of stratica dermatology is to ensure proper diagnosis, track treatment outcomes, and facilitate research and improvements in skin care practices.
Required information includes patient demographics, the nature of skin conditions, treatments administered, and outcomes of those treatments.
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