Patient Registration Forms
All forms must be printed and brought with you to your appointment. We will not print any forms.
Registration forms may be accessed by clicking the below image or by following this link: Visage Dermatology Patient Registration Forms
Please give us a call at 301-273-1251 with any questions.
“Dr. Surin is the nicest person ever. She’s friendly, welcoming, and down to earth. She’s really knowledgeable in her field.”- Lanae B.
“More than a doctor!”- Terri T.
“She is very knowledgeable, experienced and spends quality time w/her patients to get a full understanding of your condition and the necessary steps/procedures required for the treatment ...I left the office feeling very confident & pleased!”- Lisa W.