Alicia D. Bucko, D.O., J.D. and Eduardo H. Tschen, M.D., M.B.A.
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Participant Forms

To help expedite your visit, please print out and complete the attached forms before you come into the office for your visit.

Medical History/Intake Form



 

Academic Dermatology Associates
Dermatology Clinical Trials Conducted in Albuquerque, NM
Alicia D. Bucko, D.O., J.D. and Eduardo H. Tschen, M.D., M.B.A.  
1203 Coal Ave S.E., Suite B  |  Albuquerque, NM  87106
info@ABQDermTrials.com
(505) 247-4220 Phone  | (505) 247-0367 Fax