Rosacea Intake Form

Please complete the form below to help our team better understand your skin concerns, treatment history, and goals before your consultation. This information allows us to provide a more personalized and effective approach to Rosacea treatment.

Please Note: Rosacea diagnosis and management is eligible for OHIP coverage (a referral from you nurse practitioner or physician is required to see Dr. Tan), the treatment of redness of blood vessel lines by lasers is not.