Medical Referral Request

Interested in booking a medical appointment with our Board-Certified Dermatologist?  

Simply follow these easy steps below!  

STEP 1:

Download and print our Referral Form.

STEP 2:

Fill out the Patient Information section.

STEP 3:

Have your family doctor fill out the Physician Information and Referral Reason sections.

STEP 4:

Send the completed form to book@lucereskin.com or Fax to (780) 440-9192.

Once you’ve completed the steps above, our Referral Coordinator will be in touch to book your medical appointment with our Board-Certified Dermatologist. 

What skin conditions require a Medical Referral?

Lesion  

Cyst Removals 

Biopsy 

Acne 

Warts 

Hair Loss

Seborrheic Dermatitis

Tinea

Folliculitis

Rosacea

Psoriasis

Atopic Dermatitis

Vitiligo

Rashes

Actinic Keratosis

Eczema

Granuloma Annulare

Keloid Scarring

Hidradenitis Suppurativa

Seborrheic Keratosis

Skin Cancer

Pityriasis Versicolor

Dysplastic Nevus

Angioma

Hirsutism (excessive hair growth)

Chronic Migraine

Hyperhydrosis (excessive sweating)