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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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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Instructions for the use of 5 – Fluorouracil
Guide to treatment of actinic keratotis with 5 – Fluorouracil.
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Photodynamic Therapy (PDT)
PDT is also known as “blue light”. It is used for the treatment of actinic keratoses (AKs).
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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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Cantharidin Treatment
“Blister beetle juice” for the treatment of warts caused by the molluscum contagiosum virus.
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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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Treatment of Scabies with Permethrin
Details on how to use permethrin and other means to eradicate scabies.
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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 for Skin Grafts
When a skin graft has been placed follow the above instructions.
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