Highlander Dermatology and surgery center

Highlander Dermatology and surgery centerHighlander Dermatology and surgery centerHighlander Dermatology and surgery center
Home
Patient Resources
  • Forms & Handouts
  • Insurance & Billing
  • Patient Portal
Our Providers
Aesthetics
Medical & Surgical Derm
MOHS Micrographic Surgery
Melanoma
Hair Loss
Botox and Fillers
Products
LOCATIONS
Contact Us & Appointments
Sculpting Your Body

Highlander Dermatology and surgery center

Highlander Dermatology and surgery centerHighlander Dermatology and surgery centerHighlander Dermatology and surgery center
Home
Patient Resources
  • Forms & Handouts
  • Insurance & Billing
  • Patient Portal
Our Providers
Aesthetics
Medical & Surgical Derm
MOHS Micrographic Surgery
Melanoma
Hair Loss
Botox and Fillers
Products
LOCATIONS
Contact Us & Appointments
Sculpting Your Body
More
  • Home
  • Patient Resources
    • Forms & Handouts
    • Insurance & Billing
    • Patient Portal
  • Our Providers
  • Aesthetics
  • Medical & Surgical Derm
  • MOHS Micrographic Surgery
  • Melanoma
  • Hair Loss
  • Botox and Fillers
  • Products
  • LOCATIONS
  • Contact Us & Appointments
  • Sculpting Your Body
  • Sign In
  • My Account

  • Signed in as:

  • filler@godaddy.com

  • My Account

  • Sign out

Signed in as:

filler@godaddy.com

  • Home
  • Patient Resources
    • Forms & Handouts
    • Insurance & Billing
    • Patient Portal
  • Our Providers
  • Aesthetics
  • Medical & Surgical Derm
  • MOHS Micrographic Surgery
  • Melanoma
  • Hair Loss
  • Botox and Fillers
  • Products
  • LOCATIONS
  • Contact Us & Appointments
  • Sculpting Your Body

Account

  • My Account

  • Sign out

  • Sign In
  • My Account

FORMS & HANDOUTS

Save Time

Spend less time in the waiting room by completing your forms necessary forms online. Click the links below, enter your information, and click submit. Once submitted, the forms will be sent directly to us electronically through a  HIPAA secure portal.

PATIENT FORMS

NEW PATIENT REGISTRATION FORMS:

Patient Registration and Medical History Form

ADDITIONAL PATIENT FORMS:

Medical Records Release Form
MEDICAL CONSENT FORM FOR MINORS
Virtual Appointment Consent

QUESTIONNAIRES

Hair Loss Questionnaire
Contact Dermatitis Questionnaire
Cosmetic Interest Questionnaire

Patient Handouts

Sunscreen (pdf)

Download

Sclerotherapy Instructions (pdf)

Download

Decolonization: Wet Layer Instructions (pdf)

Download

Post Care Instructions for Filler : Botox : and Chemical Peels (pdf)

Download

Post Operative Instructions (pdf)

Download

CO2 Laser Information and Instructions (pdf)

Download

Notice of Privacy Practices (pdf)

Download

Acne Information Sheet (pdf)

Download

Copyright © 2020 Highlander Dermatology LLC - All Rights Reserved.

  • Home
  • Patient Portal
  • LOCATIONS
  • Staff Only Page

Powered by

Cookie Policy

This website uses cookies. By continuing to use this site, you accept our use of cookies.

Accept & Close