New Patient Information and Questionnaire Forms


 

Welcome to our practice!

Thank you for choosing our practice for your skin care needs. We offer a wide range of medical and cosmetic dermatological services.

Before completing our new patient forms, you first need to contact us to schedule your appointment.

Please complete the Patient Forms before your visit to our office.

By Right-Clicking on the link, you can save the form (PDF format) on your computer. These forms are fillable. Once you open the forms, complete by typing in your information, then click File and Print. You may also print and fill by hand. Bring the completed signed forms with you to your appointment. You may also fax your forms to us PRIOR to your appoinment.


Thank you!


New Patient Forms

Dermatology Patient Questionaire (Dermatology medical patients)

Cosmetic Patient Questionaire (Cosmetic treatment patients)

For dermatology appointments: to help us bill your insurance correctly, you must bring your current health insurance card and identification to your appointment.


Privacy Practices

Please take a moment to read our Notice of Privacy Practices.

Douglas Hamilton, M.D. Privacy Notice 

Medical Records Release Authorization Form

Medical Records Release Authorization Form 

Form downloads need Adobe PDF Reader. Click here to get Adobe PDF Reader. 

We look forward to seeing you soon!

Sincerely,

Douglas Hamilton M.D. and Staff

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