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About Skin Cancer
About Skin Cancer
Melanoma
Basal Cell Carcinoma
Actinic Keratosis & SCC
Using 5-FU (Efudex)
Prevention & Screening
General Tips
Sun Protection
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Skin Screening Exam
Total Body Photography
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Management of Skin Cancer
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Skin Cancer Management in Victoria, B.C.
P:
778-440-8774
TEST Referrals Submissions
Introduction paragraph.
Referring Physician
Practitioner ID
*
Patient
First Name
*
Last Name
*
DOB
*
(Optional)
Phone
*
Referral
Location of lesion
*
Reason for referral
*
Additional notes
*
Images
Photo 1
*
Photo 2
*
*
denotes a required field.
Closing description.
