RX Refills

To request a medication refill, please log-in to the patient portal. If you require a log-on or password, please call us at 973-763-7546.

SOMA Skin & Laser Patient Portal Login.

**Results may vary patient to patient. There is no guarantee that any specific result can be achieved.

Request Information

First Name:
Last Name:
Address 1:
Address 2:
Email Again:
General Skin Problem Skin Pigmentation Skin Surgery
Botox Skin Fillers Laser Hair Removal
Laser Rejuvenation Laser Tattoo Removal Facials
Chemical Peel Laser for Rosacea/Vascular Lesions miraDry for hyperhidrosis
Hair Loss Liposuction Venus Freeze
Platelet Rich Plasma Kybella for Double Chin
I would like someone to contact me by phone at the number above to discuss and/or schedule.
Yes No
Best Time to Call:
Additional Info:
CAPTCHA Image [ New Image ]