For surgical referrals to Complete Dermatology, please click below to download our referral form.
You may fax the completed form along with supporting documentation to Complete Dermatology, 808-627-6000, or send it to firstname.lastname@example.org. All transmissions will be received into a HIPAA-compliant system.
Alternatively, you can fill out the following online referral form. Please note, in this case you DO NOT need to fill out the surgical referral form.