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