Guest Profile Form In-Person

Guest Signup

Let’s Get Acquainted

Whether it’s online or in-person, we’ll need to get some information about you before we can meet. After completing this form you will be directed to our booking site where you can select your appointment time. Tone is a direct care practice so please note that payment for your care is due at the time of booking. Appointments range in cost between $100-$250 depending on your skin & hair concern. Once you are entered into our system, you will receive an email with instructions on how to electronically sign our medical consent forms. We’re here if you have any questions along the way!

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Your submission has been received. Click the button below to visit our booking site where you can choose a date and time and confirm your reservation.

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Guest Profile Form

(All Fields Are Required)

First Name *

Last Name *

Date of Birth *

Sex *

Ethnicity *

Ethnicity refers to non-biological, social classification based on historical tradition or geographical location

Race *

Race refers to biological traits that different people are born with. This information helps us understand your physical makeup, which in turn leads to better care

Email *

State *

We currently only offer teledermatology in Illinois, but are working to expand coverage to other states.

Mobile Phone *

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Please note that payment for your appointment will be requested in order to confirm & hold your appointment time.

Click here for information on pro-bono assistance.

Guest Signup

Let’s Get Acquainted

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