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COVID-19 UPDATE
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Teledermatology Appointments Available
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Patient Forms

Choose from one of the following options to download, complete and print your form(s). To obtain all required forms in a single document, select the first option below. Please remember to bring a list of any medications being taken.

All Patient Forms in Single Document

All Required Forms in Single PDF

Individual Patient Forms

Consent for treating a minor
Authorization to retain credit card information – English
Authorization to retain credit card information – Spanish

Mohs Micrographic Surgery Information Sheet

This PDF download provides information regarding the Mohs procedure – including a description of the technique, and patient instructions pre and post surgery:

Download Mohs Micrographic Surgery Information Sheet

Notice of Privacy Practices

Notice of Privacy Practices

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