You may complete the following form(s) before your appointment. This will allow us to serve you better and ensure you will see your physician in a timely manner. If you have any questions about anything on these forms, please call us at (954)752-2630. Our staff will be happy to assist you.
A minor may be seen with a legal adult, other than a parent, and our notarized consent form (see below). The parent must be available for telephone consultation at the time of visit. The providers have the right to not treat the patient if the presence of the parent/legal guardian is deemed necessary for treatment.
To maintain confidentiality of our patients, it is our policy not to release any information regarding medical or financial history with anyone without authorization. If you need to request medical records, please complete the Medical Records Release Authorization Form and return it to the office. If you have any questions about obtaining medical records from Dermatology Consultants of South Florida, please call (954) 752-2630 extension 214. Our office will contact you within 48 business hours and process the request as soon as we receive your signed authorization.
We value your feedback. Please fill out the patient Satisfaction Survey and return to the office.
Dermatology Consultants, PA General Dermatology Wound Care Forms
GulfStream/Skin Institute Surgery Center Forms