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Patient signing form



Written consent is required for release of medical information. Medical photographs may be taken with consent.

Reception Area

We request that only one person accompany you to your office visit. This courtesy allows for adequate room for all of our patients in the reception area.

Exam Room

Due to limited space, we allow only patients in the exam room. If the patient is a minor or requires assistance, one adult may accompany the patient.

Cell Phones

Please turn all phones off during your appointment.


A parent or legal guardian must accompany a minor on their initial visit.


American Society for Dermatologic Surgery American Board of Dermatology American Academy of Dermatology