701-478-8780
FARGO, ND

701-478-8780
FARGO, ND

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Home | | Sam Dougherty, CMA

Sam Dougherty, CMA

Certified Medical Assistant

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@fargodermatology

fargodermatology

Medical | Surgical | Aesthetic
Board-Certified Dermatologist
701-478-8780

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Fargo Center for Dermatology

3173 43rd St. S. Fargo, ND 58104

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Medical Services: Monday to Friday: 7:30 AM – 4:30 PM
Aesthetic Services: Monday to Friday: 8:00 AM – 4:30 PM (Open until 7:00 PM on Thursdays)

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COOLSCULPTING® QUIZ

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My biggest problem areas are:*
- Stomach
- Flanks
- Arms
- Chin
- Thighs
- All of the above
Do you have a special event coming up?*
- I am going on vacation
- I am getting married or taking part in a wedding
- Getting ready for summer
- Just looking for options
How soon are you looking to get rid of your stubborn fat?*
- ASAP
- Within the next month or two
- Within the next year
- Not sure, maybe soon
Have you tried CoolSculpting before or any other non-surgical procedures to reduce stubborn fat?*
- Yes, I have
- No, I have not done anything
- I have tried surgical procedures
- I try to exercise and eat healthy
How long have you considered a procedure to help reach your goals?*
- Now
- Few months
- Under a year
- For as long as I remember
Almost there!

Let us know where we can send your results to:
First Name*
Last Name*
Email*
Phone*
Procedure of Interest*
Message*

CoolTone™ QUIZ

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My biggest problem areas are:*
- Stomach
- Buttocks
- Thighs
- All of the above
Do you have a special event coming up?*
- I am going on vacation
- I am getting married or taking part in a wedding
- Getting ready for summer
- Just looking for options
How soon are you looking to tone your muscles?*
- ASAP
- Within the next month or two
- Within the next year
- Not sure, maybe soon
Have you tried CoolTone before or any other non-surgical procedures to tone your muscles?*
- Yes, I have
- No, I have not done anything
- I have tried surgical procedures
- I try to exercise and eat healthy
How long have you considered a procedure to help reach your goals?*
- Now
- Few months
- Under a year
- For as long as I remember
Almost there!

Let us know where we can send your results to:
First Name*
Last Name*
Email*
Phone*
Procedure of Interest*
Message*

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