Patient Forms

We now have electronic patient registration forms. 

To complete and submit our registration form for your visit with our physicians- Click below to fill out your patient registration form online.

Online Registration Forms  <-- Click

After completing the registration forms and submitting them through our Hipaa compliant secure portal,  you will still need to sign them on the day of your visit. Please inform the receptionist when you sign in that you filled out your forms online and she wil print them. Also, bring a dirver's license and your insurance card and any paper referral you may have a copy of. 

Thanks so much for participating in our attempt to streamline the check-in process. We are always trying to improve your experience with our office. 

Sincerely, The Physicians and Management of Associated Dermatologists

 

Click below for a printable PDF version of the new patient forms. 

 

Patient Registration Forms

 

Please review and download our Office Financial Policy HERE