First-Time Patients: Do not complete this form. Please call us at 212-334-3774 to schedule your first appointment. Return Patients: Please complete the fields below.
First Name *
Last Name *
Date of Birth * (mm/dd/yyyy)
Insurance Type and Member/Subscriber ID
Who would you like to see? *
Soonest Available DermatologistDr. Sherwin ParikhDr. Angela LeoDr. Erin KilDr. Tara RaoDr. Cherise LeviRowena Woo (facial aesthetician)Medical Asst (blood draw or suture removal)
If this is a medical visit, what is your appointment for?Please be as specific as possible. For example you can say: Mole Check, Skin Cancer Screening, Acne, Rash, Nail Issue, Cortisone Injection, Hair Loss, Mole Removal Surgery, etc.
If this is a cosmetic visit, what is your appointment for?Check all that apply. If you aren't sure, check "other" and provide a description of what you are looking for. For Laser appointments, your credit card on file will be charged a deposit of $100. For Ultherapy appointments, your credit card on file will be charged a deposit of $300.
BBL (Broadband Light) for Freckles, Brown Spots Botox / Xeomin Chemical Peel: Glycolic / Jessners / Refinity / Salicylic Clear+Brilliant Laser Earlobe Repair Surgery Excel V Laser for Eyes, Facial Veins, Brown Spots, Bruises Filler: Juvederm / Radiesse / Belotero / Volbella / Restylane Hybrid Laser (Clear+Brilliant / Profractional) Kybella for Submental Fullness, aka Double Chin Laser Hair Removal Profractional Laser Sclerotherapy for Leg Veins truSculpt Body Contouring Ultherapy V-Beam Laser for Redness, Rosacea, Capillaries, Scars Vi-Peel Other:
Please offer at least three dates and times (time ranges are good!) that work for you and we will email back with a confirmation or additional options.Note that some laser appointments require you to arrive up to an hour before your appointment time for numbing.
By clicking Send, you are initiating an email to Tribeca Skin Center. Email is not a secure form of communication.
315 Church Street, 2nd Floor, New York, NY 10013
Monday-Friday 8:45 am - 5:00 pm
TEL: (212) 334-3774
FAX: (646) 786-8777
We are one block south of Canal Street, between Walker and Lispenard. Convenient to most train lines:
J, N, Q, R, Z, or 6 trains to Canal Street station, walk one block west on Canal Street until you see the Post Office, take a left on Church Street and walk one block south.
A, C, E to Canal Street station, walk one block east on Canal Street past the Post Office on your right, take a right on Church Street and walk one block south.
1 to Franklin Street station, walk two blocks east towards Church Street and make a left on Church. Walk two blocks north.