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These forms are available to be filled out prior to your appointment. You must print these forms out and bring them with you to your appointment. This information does not electronically submit to our practice.
- Patient Demographics
- Patient Policy Signature Sheet
- Dermatology History
- Cosmetic Interest Questionnaire (Optional)
- Notice of Privacy Practices (Read Only)
Our patient portal is a new tool that existing patients can use to communicate with the practice via the Internet. Current functionality will allow patients to view appointments, send messages to the practice, view a summary of a visit, and change contact information. In the future, other features will be added including refill requests, viewing of lab results, and scheduling appointments.
This patient portal is NOT to be used for urgent communications with our clinc or for emergent matters. If you are having an emergency, please call 911 or go to your local emergency room. If you have an urgent issue during business hours, please call our clinic at (972) 712-5100.
This feature is available to all existing patients who have an email address on file with our clinic. Please contact our office at 972-712-5100 to activate your access. If you do not have an email address on file with our clinic, you will need to come to the office to activate your access, as we must verify your identity to prevent unauthorized access to your records.
For new patients, you may pre-register on this site as well, if you have not called our clinic for an appointment. This will send us a message, and our staff will contact you to schedule an appointment. If you have already made an appointment, you will be granted access at your visit (as you are already in our system and we must verify your identity prior to providing online access to your record). Please call our clinic if you have any questions or trouble with this process.