CLICK HERE TO BOOK YOUR ANNUAL SKIN SCREENING NOW
  • Our Locations
  • Patient Portal
  • Provider Referrals
  • Prescription Renewal
  • Online Billpay
  • Appointments
Dermatology Physicians of Connecticut Logo
  • About
    • Our Providers
      • Loyd Godwin, MD
      • Grace Bandow, MD
      • Douglas L. Bilinski, MD
      • Julie Cantatore-Francis, MD
      • Carolyn Carroll, MD
      • Brittany G. Craiglow, MD
      • Tyler Durazzo, MD
      • John Edelglass, MD
      • Mona Gohara, MD
      • Mark Goldstein, MD
      • Heather Hamilton, MD
      • Brett King, MD, PHD
      • Noah Levit, MD, PhD
      • Laura Madden, MD
      • Mohsin Malik, MD
      • Elena Maydan, MD FACMS
      • Fern E. Mayer, MD
      • Daniel A. Nadelman, MD, FAAD
      • Nadia Sherline, MD
      • Aaron Steen, MD, FACMS
      • Kristin Torre, MD
      • Lily Andrews, FNP-C
      • Marissa Carignan, PA-C
      • Camryn Craig, PA-C
      • Sharona Daube, PA-C
      • Erin Myers, PA-C
      • Brianna Paesano, MS, PA-C
      • Carla Reynolds, APRN
      • Sara Silver, PA-C
      • Kiersten Striebe, PA-C
      • Michael Thibault, PA-C
      • Kathryn Thompson, PA-C
      • Lindita Vinca, APRN, DNP
      • Christina Young, APRN
      • Important Information for Patients seen by Suzana Kalanica, APRN, DNP
      • Important Information for Patients seen by Lauren E. Provini, MD
      • Important Information for Patients seen by Amy Rossiter, MS, PA-C
      • Retired Providers
    • Our Locations
      • Branford
      • Fairfield
      • Hamden
      • New Haven
      • New London
      • Norwalk
      • Oxford
      • Shelton
      • Stamford
      • Woodbridge
    • Employment Opportunities
    • GAP Year
    • Why Choose Us
  • What We Do
    • Medical & Surgical
      • Acne
      • Cold Sores
      • Cysts
      • Eczema
      • Hair Loss
      • Hyperhidrosis
      • Melasma
      • Molluscum
      • Psoriasis
      • Nail Fungus
      • Rhinophyma
      • Rosacea
      • Seborrheic Dermatitis
      • Shingles
      • Warts
    • Pediatric & Adolescent
      • Acne
      • Eczema
      • Hemangiomas
      • Hidradenitis Suppurativa
      • Impetigo
      • Molluscum
      • nevus and Birthmarks
      • Seborrheic Dermatitis
      • Vitiligo
      • Warts
    • Skin Cancer
      • Skin Cancer Screening
      • Mohs Surgery
      • Basal Cell Carcinoma
      • Dysplastic Nevus
      • Melanoma
      • Squamous Cell Carcinoma
      • Treatment Options
    • Cosmetic & Laser
      • Botox & Dysport
      • Fillers
      • Fraxel
      • KYBELLA® Treatment
      • Laser Tattoo Removal
      • Lumps & Bumps
      • Morpheus8
        • Morpheus8 Before & After
        • Morpheus8 FAQs
        • Make a Morpheus8 Appointment
      • Treatment of Brown Spots
      • Vbeam Perfecta
  • SHOP SKINCARE
    • Shop Now
    • Take the Quiz
    • About Skin Type Solutions
  • New Patients
    • New Patient Checklist
  • Patient Information
    • Patient Portal
    • Directions & Hours
    • Make an Appointment Online
    • Insurance
    • Prescription Renewal
    • Forms & Policies
    • FAQ
    • Security Notices
    • Blog
  • Telemed
  • Contact
    • Make an Appointment Online
      • Employment Opportunities
      • GAP Year Program
  • Directions | Hours | Locations
  • Make an Appointment Online
  • Patient Portal
  • Provider Referrals
  • Prescription Renewal
  • Online Billpay
  • New Patient Checklist
Home » Patient Information » Forms & Policies
Dermatology Patient Information

Forms & Policies

For your convenience, the following forms and information are available to download and print.

Patient Privacy

  • Notice of Privacy Practices

Consent Forms

  • Consent to Treat Minor (seen under non parental supervision)
  • Consent to Treat Unaccompanied Minor

Medical Records Request Forms

  • Request to Review or Copy PHI for Existing Patients
  • Medical Records Request

Care and Treatment  Instructions

  • Wound Care after Biopsy
  • Wart Treatment
  • Care Instructions for Molluscum Contagiosum & Warts Treated with Cantharidin (blistering solution)
  • Scabies Treatment
  • Topical Treatment for Toenail Fungal Infections
  • Instructions for Taking Doxycycline or Minocycline

Pre and Post Surgery Instructions

  • Pre-Surgery Instructions
  • Post Surgery Instructions
  • Post-Fraxel Instructions
  • Post Blue-Light Instructions
  • Dermal Filler Before & After Instructions
Schedule an Appointment
Book Now
  • Patient Information
    • Patient Portal
    • Directions & Hours
    • Make an Appointment Online
    • Insurance
    • Prescription Renewal
    • Forms & Policies
    • FAQ
    • Security Notices
    • Blog
Dermatology Physicians of Connecticut Logo Dermatology Physicians of Connecticut Logo
  • About Us
    • Our Providers
    • Our Locations
  • Imprint
  • Cookie Policy
  • What We Do
    • Medical & Surgical
    • Pediatric / Adolescent
    • Skin Cancer
    • Cosmetic / Laser
  • Patients
    • Directions & Hours
    • New Patients
    • Make an Appointment Online
    • Prescription Renewal
  • Contact
  • Online Billpay
  • Patient Portal
  • Privacy Statement
Book an Appointment
© 2026 Dermatology Physicians of Connecticut | Privacy Policy
Manage Consent

We use cookies to help our website function properly, analyze site traffic, and improve your experience. You can accept all cookies, reject non-essential cookies, or customize your preferences at any time.

Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
  • Manage options
  • Manage services
  • Manage {vendor_count} vendors
  • Read more about these purposes
View preferences
  • {title}
  • {title}
  • {title}