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For an easier check-in, scroll to the section below to download patient registration forms for your upcoming appointment.
You can speed up your registration at the front desk. Simply download and fill out the patient registration forms you need and bring them with you to your appointment. Please note that you need the latest version of Adobe Acrobat to download the forms to look as they do on the screen.
NEW PATIENT WELCOME KIT
Click here to download all the forms you'll need to register as a new patient, as well as a map for driving directions.
MOHS SURGERY WELCOME KIT
Click here to download all the Mohs or Excision Surgery forms you'll need if you are seeing Dr. Ken Lee for surgery.
PATIENT FINANCIAL POLICY FORM
Click here to download the patient financial policy form. This is a two sided form. If you're a Medicare patient, please fill out both sides of the form. If you're a non-Medicare patient, just fill out the first side.
MEDICAL HISTORY FORM (GENERAL DERMATOLOGY PATIENTS)
Click here to download the Medical History form. (Use this form if you will be seeing Drs. Walter Larsen, Michael Adler, Barbara Resnick, Rebecca Bremner, Jonathan Alexander or Renee Chang.)
HEATLH QUESTIONNAIRE (MOHS SURGERY, LASER SERVICES, DERMAL FILLERS)
Click here to download the Health Questionnaire. (Use this form if you will be seeing Dr. Ken Lee for Mohs surgery, Cosmetic Laser Surgery or Botox/dermal filler injections.)