Your first visit to Dermatology Surgical & Medical Group involves a few
special steps so that we can get to know you. To understand what to expect,
please read through this page. You'll find all the practical information you
need, such as a
map and directions
to our office, practice hours, payment policies and more.
There's also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment. Please be sure to bring a list of your medications with you which includes the name of the medication, the strength of the medication and the dosage of the medication.
Please print and fill out these forms so we can expedite your first visit:
- Authorization for the Release of Protected Health Information
- Authorization for the Disclosure of Protected Health Information
- Permission to Verbally Discuss Protected Health Information
- Patient Registration
- Medical Questionaire
- Medicare Insurance Information
- Private Pay/Commercial Information
- Notice of Privacy Practice
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
Map and Directions
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.