Cosmetic Patient Intake
To be completed by all new cosmetic patients or medical patients that are considered self-pay or uninsured.

Dermatology Medical History
To be completed by all new medical and cosmetic dermatology patients.

Dermatology Insurance Info
To be completed by all new medical dermatology patients who have our accepted, direct bill insurance carriers (except Medicare patients).

Hipaa_Consent.pdf
To be completed by all new patients.

Medicare Patient Registration
To be completed by all medical dermatology patients who have Medicare as their primary insurance.

Minor_Patient_Registration.pdf
To be completed by all patients who are minors.