The Dermatology Directory
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How to get listed on Dermatologists.ca

If you are a dermatologist, cosmetic surgeon, laser treatment specialist, or another type of dermatology professional practicing in Canada and are interested in being listed, please fill out the registration form below.

We need to know your name and email address to be able to contact you if we need to clarify something about the information you submitted. The other fields are optional, however, we encoarage you to provide as much information as possible.


If you'd like to have your photograph listed as well, follow the instructions on the confirmation page (you will see it after you submit the form).

1. Doctor Biograhy/Professional Information:


Full Name: (required)

Email Address: (required)



Would you like your email address appear under your address information within your listing:
YES   NO


Brief Bio:



Education:



Special Interests:



Procedures/Surgery Performed:



Institutional Affiliations:



2. Doctor Contact Information:


Address:


City:


Province:



Telephone:


Fax:


Website:



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