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Research is what keeps our physicians on the leading edge of scientific advancements in both cosmetic and medical dermatology. We frequently recruit volunteers to participate in research studies involving a variety of conditions, including:

• Forehead and facial lines
• Volume loss and anti-aging
• Skin tightening and body contouring
• Skin cancer and precancerous lesions
• Chronic skin conditions: psoriasis, eczema, rosacea, acne

We are now recruiting for  2019 research studies.

To find out if you qualify, please complete the form below. Your information will be kept strictly confidential and will only be used in conjunction with recruitment and pre-screening for these studies.

Qualified applicants will be contacted directly as opportunities become available.

Name

Phone

Email

Address

City

State / Province / Region

Postal / Zip Code

CanadaUnited States

Country

Are you a male or female 18 years of age or older?
YesNo

Are you a female who is pregnant or breast feeding?
YesNo

In the last 12 months have you had Botox treatment in the crow’s feet area or below?
YesNo

In the last 12 months have you had any soft tissue non-permanent fillers in cheeks or lower face (e.g. Restylane or Juvederm)?
YesNo

In the last 12 months have you taken any oral retinoid (e.g. Accutane)?
YesNo

In the last 6 months have you had any medium to deep depth facial chemical peels, skin tightening (e.g. Thermage), and/or laser resurfacing of the cheeks or lower face?
YesNo

Have you ever had any cosmetic facial surgery?
YesNo

Are you scheduled to undergo any type of medical or cosmetic surgery facial surgery in the next 9 months?
YesNo

Do you have a history of facial nerve palsy?
YesNo

Do you have any uncontrolled systemic disease?
YesNo

Are you currently taking any type immunosuppressive medication or systemic steroids?
YesNo

Please list any allergies you may have.

Please list all medications you are currently taking, including dose, indication and regimen.

Are you available for appointments Monday to Friday between 9-5?
YesNo

Do you plan on being out of the country for more than 4 weeks in the next 9 months?
YesNo

Are you currently part of any other investigational study?
YesNo

How would you best describe your complexion/ skin type:
Fair - Never tansFair/Medium - Tans with difficultyMedium – Tans with easeMedium/Dark- Tans with ease, very rarely burnsDark - Never burns

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