Book a Free Cosmetic Consultation

At Victoria Park Medispa (The Derm Centre), we offer one-on-one consultations with our experienced and knowledgeable consultants in order to develop an individualized and customized treatment plan.

Our treatment plans work to address short-term and long-term goals, while continuing to keep you looking natural and radiant. Our consultants will discuss a variety of industry leading treatments from laser treatments to injectables to skin care, that will leave you full of knowledge and eager to start.

Our goal as a team is to make you feel comfortable and confident from the moment you book your consultation, all the way through your treatment plan, while achieving a natural result that has you looking and feeling your best.

*DO NOT FILL OUT THIS FORM FOR MEDICAL CONCERNS. THIS FORM IS STRICTLY FOR COSMETIC INQUIRES ONLY.*

If you require a "Medical Appointment" (ie: Acne, Psoriasis, Moles, Warts, or other medical skin concerns) please visit Medical Appointments

Your Appointment Information
* Preferred Appointment #1 (Day / Time / Week): Monday Tuesday Wednesday Thursday Friday AM PM This Week Next Week In 2 Weeks In 3 Weeks In 4 Weeks	* Preferred Appointment #2 (Day / Time / Week): Monday Tuesday Wednesday Thursday Friday AM PM This Week Next Week In 2 Weeks In 3 Weeks In 4 Weeks
* I would like an appointment concerning: Acne Scars (This is not an appointment to diagnose/treat acne. Please call the clinic if you have acne) Age Spots - Brown Spots Aging & Dull-looking Skin Back Fat Body Fat Bra Bulge Broken Capillaries Cherry Angiomas Crow's Feet Double Chin Eye Circles & Lines Eyebrow/Eyelid Sagging Eyelashes Face Shaping Feature Refinement & Accentuation Forehead Lines Hair - Excessive & Unwanted Hyperhidrosis - Excessive Sweating Knee Fat Lip Lines Love Handles Muffin Top Rosacea Sagging Skin Smile Lines Sun Damage Tattoo Removal The 11s Thigh Fat Veins Volume Loss Wrinkles
If you wish, please comment on your cosmetic concerns:
Your Contact Information
* First Name:	* Last Name:
* E-mail:	* Phone:
* Date of Birth: (mm-dd-yyyy)	* Choose which one best describes your level of interest: I think I know my main cosmetic concerns and want to arrange treatment I have had cosmetic treatments (ie botox/fillers) elsewhere, but am interested in finding out about treatments at The Derm Centre/Dr Taraska I am only looking for basic information

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