Call Today (323) 464-8046

321 N Larchmont Blvd., Suite 906, Los Angeles, California

Sign up for our "Talk with Dr. Fitz" E-News
Breaking news, skin tips, promos, the latest technologies. Join us for
spectacular savings, videos, news, patient photos and event notices.

Your Email Address:

Recommend to a friend

Patient Information Forms

patient-formdownload

FILLABLE FORMS

Please download the Patient Forms (PDF format) before your next visit to our office.  By Right-Clicking on the link, you can save the form on your computer. These forms are fillable. Once you open the forms, complete by typing in your information, then click the Print button or click File and Print from your browser.  You may also print and fill by hand. Bring the completed signed forms with you to your appointment. Thank you!

Do NOT send these completed forms by email.

Form downloads require Adobe PDF Reader.  If not on your computer, Install Adobe PDF Reader Here

Patient Information Rebecca Fitzgerald MD

Cosmetic Questionnaire

Patient Health Information Rebecca Fitzgerald MD

News and Press

Dr. Fitzgerald at American Academy of Dermatology annual meeting in New Orleans. Demonstrations on Periocular rejuvenation; MidFace Volumizing & Shaping and Best Practices for Sculptra (PLA)

Read More

Los Angeles Dermatologist

Rebecca Fitzgerald MD, Board Certified Dermatology & Skin Surgery
International Master Trainer for Sculptra, National Injection Trainer for Juvederm, Botox, Restylane and Radiesse

Read More

Location and Map

321 N. Larchmont Blvd. Suite 906
Los Angeles, CA 90004
Centrally located and convenient to the communities of Hancock Park, Larchmont, Wilshire, Beverly Center and Hollywood.

Contact Us

Site Login