Please complete the form below so that we can schedule a private one-on-one virtual consultation via Zoom/WeChat/FaceTime video visit with Dr. Kojouri. After we receive the completed form, our Zoom/WeChat/FaceTime Consult Coordinator will contact you with some dates and times that work best for both Dr. Kojouri and you to discuss your concerns over a private Zoom / WeChat / FaceTime video call.

By submitting this form, I authorize Berman Skin Institute (BSI) to contact me by phone or text utilizing automated dialing equipment, as well as by email or mail with information about appointments, products, services, news or promotions. I also agree to BSI’s Terms of Service.