Patient Forms of Preferred Dermatology

For more information or to schedule an appointment, contact us today. We proudly serve patients from Allen, TX, Anna, TX, Celina, TX, Denton, TX, Forney, TX, Greenville, TX, Lewisville, TX, McKinney, TX, Rockwall, TX, Sherman, TX, Sulphur Springs, TX, and Waxahachie, TX, and surrounding areas.

Our staff looks forward to meeting you and discussing your dermatologic needs. We strive to keep our appointments on time, as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so that you can accelerate your check-in process. Please download, print and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, we request that you arrive to your appointment between 15-30 minutes early so that you can have ample time to fill out the appropriate forms.

NEW PATIENT PAPERWORK

NEW PATIENT PAPERWORK

EXISTING PATIENT PAPERWORK

EXISTING PATIENT PAPERWORK

MINOR CONSENT

MINOR CONSENT

MEDICAL RECORD RELEASE FORM

DOWNLOAD MEDICAL RECORD RELEASE FORM

MEDICAID WAIVER

MEDICAID WAIVER

HIPAA PRIVACY POLICY

HIPAA PRIVACY POLICY