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Patient Forms

Explore the latest patient information from Affiliated Dermatology, including easy-to-understand information about the prevention and management of skin disease.

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Patient Forms

Medical Records Release Form (to Affiliated Dermatology)

Medical Records Release Form (from Affiliated Dermatology)

Medical Consent Form – Minor

Patient Education on Meaningful Use

Patient Care Instructions: Medical & Surgical Dermatology

Tretinoin Instructions

Canthacur Wound Care

Bleach Bath

Post-Operative Care

Biopsy Care

Efudex + Fluorouracil Application Schedule

Cryosurgery Care

Patient Care Instructions: Aesthetic Services & Treatments

Chemical Peel & Microneedling Pre-Care

Chemical Peel & Microneedling Post-Care

Dermal Filler Post-Care

CoolSculpting Post-Care

HydraFacial Post-Care

Kybella Post-Care

Laser Hair Reduction Pre/Post Care

Wrinkle Relaxer Post-Care

PRP for Hair Growth Consent & Post-Care

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