Salem, IN Dermatologists Near Me: Dermatologist in Salem

ATTENTION

We’re Moving Around the Corner - Our last day seeing patients at 911 Shelby Street is August 26, 2025. We will begin seeing patients at our new location, 505 W Homer St, Suite 201, Salem, IN 47167, starting September 9, 2025.

Download Our Referral Form

In addition to completing an online referral, you may also download and fax a referral form to our office.

Referral Fax Number:

866-698-6884

Download Referral Form

Refer a Patient Online

Provider Information
Date*
MM slash DD slash YYYY
Provider Name*
Provider Phone*
Provider Fax*
Name of person completing form*
Patient Information
First Name*
Last Name*
Gender
Patient Date of Birth*
MM slash DD slash YYYY
Phone Number*
Street Address*
Street Address 2
City*
State*
Zip Code*
How urgent is this referral?
Reason for Consult*
Email
This field is for validation purposes and should be left unchanged.

Download Our Referral Form

866-698-6884

Refer a Patient Online

Provider Information

Patient Information