Please follow the form below in order to send us your medical information.
Please complete the form to the best of your knowledge. All information is kept in strictest confidence and your pictures may be used only upon written permission. This information is handled in absolute discretion and confidentiality. Although we are not a US based company, we follow the strictest rules of non disclosure established by the US Health Insurance Portability and Accountability Act (HIPAA). Our confidenciality policies are governed by the Mexican Law in accordance with the articles 8, 15, 16 and 17 of the Federal Law for Personal Data Protection in Possession of Individuals.
Blvd. Agua Caliente 4558, Suites 1106-1108Col. Aviacion, Tijuana, BC (Mexico) 22420
US – +1 (619) 308-7268MX – +52 (664) 687-4848
info@avantiderma.com