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.
If you SAW OUR PROVIDERS AT A PREVIOUS LOCATION YOU ARE CONSIDERED A NEW PATIENT. Your records did not automatically transfer to our clinic, so you must fill out these forms. It is advisable that prior patients fill the 'Medical Records Request' if they desire to have their records sent over from Affiliated Dermatologists.
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