Patient Forms
**Please complete your forms in BLACK ink.
- Patient Information Form
- Financial Policy for Medical Services
- Reason for Visit Form
- Medical Records Release Authorization
- Forms Require Adobe Reader – If needed download here Adobe Reader Download
PATIENT
REVIEWS
We love our patients at Total Dermatology! Read what our satisfied patients have to say about their experiences with Dr. Pilest and our team.
Dr. Pilest is the best injector in Orange County. Obviously no one likes needles but he makes getting a little Botox painless. I make the drive all the way from LA just to see him and his amazing staff.
Kay S.
I have been coming here about 5-6 months ago and the service is amazing. All staff members are very welcoming. They have helped with my skin so much. I totally recommend then.
Victoria L.
The staff is amazing and sweet. Professional, kind, prompt and the best service. I will only get my juvederm and lip injections here!
Priscilla S.
*Individual Results May Vary
Take the First Step – Request a Consultation
If you would like to schedule an in-person consultation or learn which treatment is right for you, please fill out the form on this page and one of our knowledgeable medical staff members at Total Dermatology will reach out to you promptly. You can also call our Irvine office directly to schedule. (949) 727-3800
Total Dermatology serves the Irvine, CA area.
*Individual Results May Vary