Dermatology Specialists Appointment Cancellation Please fill out the following form to cancel your appointment. Due to a high volume of requests, please allow 72 hours for a return call.   Patient First Name* Patient Last Name* Patient Date of Birth* Callback Phone Number* Appointment Date* Appointment Physician/Provider Cancellation Reason Rescheduling Comments   This form does not go to physicians or clinical staff. For specific medical advice or questions, please contact our office directly at 952-920-3808 Due to a high volume of requests, please allow 72 hours for a return call. Thank you and have a good day.