New Patient Registration and Health Information Forms
Please download and print these two pdfs: New Patient History Form, and Patient Registration Form. Fill out your information, and bring these with you when you come into our office. Thank you!
Authorization for Use/Release of Health Information Form
Please download and print this pdf: Authorization for Use/Release of Health Information. Fill out the information and bring it with you when you come into our office. Thank you!
The Surgical Suite Forms
Please download and print these three pdfs before visiting The Surgical Suite: The Surgical Suite Patient Notification, Notice of Privacy Practices, and The Surgical Suite Privacy Practices Notices Acknowledgement. Fill out your information, and bring these with you when you come into our office. Thank you!
Patient Post-Experience Survey
Please download and print this pdf: Patient Post-Experience Survey. Fill out the information, and fax to us at 404-843-3469 or or you may complete it and e-mail it directly to us online at sharondaa@dermatlanta.com.
If you prefer to fill out the survey online instead, please click here. Thank you!
