Contact us via the form below or email us at email@example.com. You may also use the form below to request an appointment. First & Last Name: (required) Email Address: (required) Daytime phone number: Please leave this field empty. Your Message: Preferred way to contact you in responding to this inquiry: either phone or email phone email If you are new to Union Square Laser Dermatology: How did you hear about us? Please click the "Send" button below to send your message. You will receive a copy at the email address you provided above.