Children less than 18 years of age must be accompanied by a parent to their office visits. 

For Minors

New Patient Forms

Records can also be printed yourself by accessing your Modernizing Medicine patient portal. Visit our Patient Portal page for more information. 

If you would like your medical records please fill out the records release  form and return it to the office either in person, fax, or by mail. We will prepare your documents and have them on their way as soon as we can.


If this is your first time to our practice we look forward to meeting you. Please print the New Patient Forms below and bring completed forms to your visit.

If you are unable to complete forms prior to your visit please arrive 15 minutes early to complete the forms. 

If you have previously been seen by another dermatologist or been under the care of another health care provider for your skin condition please bring a copy of those records or have those records sent to us prior to your visit.