Patient Forms


 

Information On Patient Forms


 

After completing the registration forms and submitting them through our HIPAA- compliant secure portal, you will still need to sign them on the day of your visit. Please inform the receptionist upon your arrival that you have filled out your forms online and they will be printed for you. Also, bring a driver’s license, your insurance card and any printed referral form you have received.

Thank you for participating in our attempt to streamline the check-in process. We are always trying to improve your experience with our office!

Sincerely,
The Physicians and Management of Associated Dermatologists

 

Please email your insurance card(s) & drivers license or photo ID to our HIPPA compliant email at frontdesk@michderm.com.

ONLINE REGISTRATION FORMS

Click below for a printable PDF version of the new patient forms.

PATIENT REGISTRATION FORMS

Please review and download our Office Financial Policy

DOWNLOAD HERE

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