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Patient Forms


 

Welcome to Knight Dermatology!  We look forward to providing you with excellent care.  Below is a list of important patient forms.


NEW PATIENTS: Please complete and read all New Patient forms prior to your appointment. Completed forms should be brought with you when you visit our office.


*** EFFECTIVE JANUARY 2020 we are updating our system: We recommend filling out this form and bringing it to your appointment. Please arrive 10-15 minutes prior to your appointment time.

 
Forms to print, complete, and bring with you to your appointment:

(Click form name to download and print.)

 Patient Registration (1 page)
 Medical History (2 pages)
• HIPAA Form (1 page)
• Financial Policy (3 pages)

 

Policies to read prior to your appointment
• Notice of Privacy Practices
• Cancellation Policy
• Parking

 

Additional Forms

• Medical Records Release Form (1 page)

 

Pre & Post-Procedure guidelines

 
Our Locations

Choose your preferred location