Forms



Registration Form

New patients are encouraged to print and fill out this form. Please bring this to your visit.

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HIPAA Notice of Privacy Practices

Notice of privacy practices detailing how we may use your protected health information and your rights as a patient.

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Records Transfer Request

To have prior biopsy results or treatment records sent to our office, fill out this form and provide to your physician.

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Dry Skin Care

Recommendations for the treatment and prevention of dry skin.

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Retinoid Application

Tricks to prevent dryness and irritation of the skin caused by acne medications.

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Instructions for use of Benzoyl Peroxide Products for Acne

Proper use of benzoyl peroxide in the treatment of acne.

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Cantharidin Treatment

“Blister beetle juice” for the treatment of warts caused by the molluscum contagiosum virus.

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Cryosurgery

Information for treatments with liquid nitrogen.

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Instructions for the use of 5 – Fluorouracil

Guide to treatment of actinic keratotis with 5 – Fluorouracil.

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Treatment of Scabies with Permethrin

Details on how to use permethrin and other means to eradicate scabies.

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Wound Care – General

How to care for wounds following routine procedures such as biopsies, incision and drainage of boils, and infected cysts.

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Wound Care for Granulating Wounds

Granulating wounds are those which are left to heal on their own without the use of stitches.

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Wound Care Instructions for Sutured Wounds

Post-operative care of sutured wounds including those following excisions and Mohs surgery.

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Wound Care for Skin Grafts

When a skin graft has been placed follow the above instructions.

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