DOWNLOADABLE FORMS
To save time and make the process more convenient, you can fill out several forms at home before your appointment. Just click on the button below to print out a copy of the form on your printer, fill it out and bring it to your appointment.
Forms are available in Adobe Acrobat PDF format. Please click the link to download the appropriate form:
NEW PATIENT REGISTRATION
HEALTH HISTORY (2 PAGES)
CONSENT & PRIVACY FORM
PRACTICE POLICIES
PATIENT AUTHORIZATION TO DISCLOSE HEALTH INFORMATION
AUTHORIZATION TO PROVIDE TREATMENT TO MINORS
EDUCATIONAL RESOURCES
To help you stay informed, listed below are some materials and videos that can help you identify and prevent skin cancer as well as links to the top dermatology websites.
VIDEOS AND FLYERS
Sunscreen Information Flyer (pdf)
Self Exam and Body Mole Mapping Instructions (pdf)
How to apply Sunscreen (video)
How to perform a self exam (video)
WEBSITES
American Academy of Dermatology https://www.aad.org/
American Society for Dermatologic Surgery https://www.asds.net/Public-Resources/
Spot the Spot, https://www.spotthespot.org/
The Skin Cancer Foundation, https://www.skincancer.org/
American Cancer Society, https://www.cancer.org/