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Thank You for your submission

You should receive a call to confirm the details of your request and to collect prepayment of your order within 3 business days of submitting this form. If you have not heard back from us by 3 business days, please call or email the Dermatology Service to confirm your request was received.

Thank You,
Dermatology Service
1052 William Moore Dr., Raleigh, NC 27607
Phone: 919-513-6543