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


Pre & Post-Procedure guidelines

Our Locations

Choose your preferred location


Fax Number Fax Number by Locations

Knight Dermatology Institute

Orlando, FL

Fax: 407-992-7702

Knight Dermatology Institute

Lake Mary, FL

Fax: 407-915-7226

Knight Dermatology Institute

Winter Park, FL

Fax: 321-203-4226

Knight Dermatology Institute

Melbourne, FL

Fax: 407-992-7702