Patient Forms

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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

Can’t find what you’re looking for? Please feel free to call us at (480) 556-0446 or use the form below to leave us a message.

We’re Open & Here for Your Skin Health

As a medical and surgical practice, Affiliated Dermatology® remains open and committed to providing essential dermatology services. In order to safely accommodate our skin cancer and medical patients, we are taking the necessary precautions to maintain a safe environment and requiring face coverings and temperature checks for all staff and patients. Our aesthetic department is temporarily closed, except for CoolSculpting services, until further notice. Thank you for your patience and understanding during this time.

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