pro-bono

Pro Bono Acne Scar Case Application

To give back to our community, Dr. Qazi accepts pro bono cases for patients who are financially unable to treat their acne scars. If you would like to submit your story and apply to receive the next opportunity, please fill out the form below. These submissions are kept private.

Thanks for submitting our pro-bono form. Our team will get back to you if you're chosen.

First Name *

Last Name *

Email *

Phone *

Date of Birth *

Share Why You Should Be Selected For This Opportunity *

Please submit photos of your acne scars in good lighting with no makeup or creams on your face *

I understand that I will be financially responsible for my own travel expenses and accommodations

I understand that I will be financially responsible for any possible prescribed medications