Forms for all patients:
Please complete prior to your visit to avoid any delay in your appointment
To complete forms online, please call our office. Our staff will take your basic information to create a unique log-on and password for you. By doing this, you will always have access to your health records.
Scroll down this page to view instructions on patient portal use.
Alternatively, if you would like us to take a photograph for you, let us know. We would be happy to schedule a time for you to stop by the office so that one of our staff members can take your surgical site photograph.
Please complete prior to your visit to avoid any delay in your appointment
To complete forms online, please call our office. Our staff will take your basic information to create a unique log-on and password for you. By doing this, you will always have access to your health records.
Scroll down this page to view instructions on patient portal use.
- Registration Form
- Medical History Form
- Review of Systems
- Accutane / Isotretinoin Questionnaire (for patients currently on this medication)
- Cosmetic Questionnaire (for patients interested in cosmetic information/procedures)
- Office Policies & Frequently Asked Questions (to read only, no need to print)
- Patient Signature Page
- Privacy Practices (to read only, no need to print)
Pre-operative photographs of biopsy sites
In most cases, it is relatively easy for us to determine the location of your biopsy site. However, occasionally, our patients do not remember where the biopsy was performed and the scar is difficult for us to find. In these cases, we recommend that our patients take photographs of their biopsy site to make locating the proper operative site easier on the day of surgery. You may take a photograph of the region with a regular camera, digital camera, or even a cell phone camera. Please let us know if you have any questions about the best way to take the photograph.Alternatively, if you would like us to take a photograph for you, let us know. We would be happy to schedule a time for you to stop by the office so that one of our staff members can take your surgical site photograph.