Skin Stories To Go  »  WDS Media Day 2009 'Need An Expert' Request Form

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SKIN STORIES TO GO
Media Day 2009 - 'Need An Expert'
Tell us what you need and we'll get you an expert: If you need a dermatologic expert for an upcoming story or media appearance, please complete this short form and we will get back to you promptly with sources to contact. If you have any questions, please contact the WDS:
Ph: 415-764-4925 | Toll-free: 1-877-WDS-ROSE
media@womensderm.org | www.womensderm.org

YOUR 'NEED AN EXPERT' REQUEST FORM

STEP 1. APPLICANT INFORMATION:

Request Date: 
Your Name: (required) Title / Position: (required) 
Media Outlet / Company: (required) E-Mail: (required) 
Address: City: 
State: Zip: 
Telephone: (required)  Telephone (2): 
Cellular: Fax: 


STEP 2. PICK YOUR EXPERT(S) & TOPIC(S):
Select as many as you are interested in:
Click on topics below to learn more (Opens in a pop-up window)
Tina Alster, MD - LASERS! THE LATEST & GREATEST (DERMATOLOGIC INNOVATIONS SHOWCASE)
Diane Berson, MD - UPDATES IN ACNE & PSORIASIS (DERMATOLOGIC INNOVATIONS SHOWCASE)
Marianna Blyumin-Karasik, MD - HOLISTIC, REALISTIC & LIGHT SKIN CARE THROUGH THE AGES
Karen E. Burke, MD - SKIN STRESSORS TO GO - ENVIRONMENT VS. SKIN: HOW TO WIN THE AGING GAME
Jessie Cheung, MD - FOOD FOR THOUGHT
Doris Day, MD - HOLISTIC, REALISTIC & LIGHT SKIN CARE THROUGH THE AGES
Amy J. Derick, MD - INJECTABLES: DECISION-MAKING FOR BEST RESULTS
Zoe D. Draelos, MD - FOOD FOR THOUGHT
Mona Gohara, MD - HEALTHY SKIN FOR ALL AGES            
Deirdre Hooper, MD - LASERS! THE LATEST & GREATEST (DERMATOLOGIC INNOVATIONS SHOWCASE)
Jenny Kim, MD, PhD - NATURE TO NANOECHNOLOGY (DERMATOLOGIC INNOVATIONS SHOWCASE)
Daniela Kroshinsky, MD - UPDATES IN ACNE & PSORIASIS (DERMATOLOGIC INNOVATIONS SHOWCASE)
Mary P. Lupo, MD - INJECTABLES: DECISION-MAKING FOR BEST RESULTS
Amy McMichael, MD - HAIR LOSS IN MEN AND WOMEN & SKIN CARE IN MEN
Elise Olsen, MD - HAIR LOSS IN MEN AND WOMEN & SKIN CARE IN MEN
Wendy E. Roberts, MD - HEALTHY SKIN FOR ALL AGES
Sherry Shieh, MD - SKIN STRESSORS TO GO - ENVIRONMENT VS. SKIN: HOW TO WIN THE AGING GAME
Emma Tayor, MD - NATURE TO NANOECHNOLOGY (DERMATOLOGIC INNOVATIONS SHOWCASE)
Heidi Waldorf, MD - BUDGET-CRUNCHED & BEAUTIFUL!
Susan H. Weinkle, MD - BUDGET-CRUNCHED & BEAUTIFUL!
Other Request - Please specify dermatologist name and/or subject matter
          


STEP 3. INTERVIEW DETAILS:
Type of interview:

Information you are seeking:


Deadline for story: | |


STEP 4: QUESTIONS OR COMMENTS? LET US KNOW HERE:


PLEASE NOTE:
You will receive eMail confirmation of your Skin Stories to Go 'Need An Expert' Request Form