Appointment Request Dermatology Clinic Appointment To book an appointment, call our office at: (503) 226-3376 Someone from our practice will get back to you promptly to confirm the date and time you requested, or to offer alternative dates and times that accommodate your schedule. Appointment Request Form Name Email Phone Reason for Visit Please Select One Acne Dermatitis Eczema Moles (Nevi) Nail Disorders Psoriasis Rashes Rosacea Shingles Skin Cancers Warts Wrinkles Other Preferred Day Preferred Time Message Submit Request