Patient Information

At Laserderm Dermatology & Cosmetic Laser surgery, our goal is to make sure your consultation goes as smoothly as possible. For that reason, we’ve attached some important documents that you can complete before coming in for your appointment. All you have to do is download each document, fill them out and bring them into your consultation. Doing so will ensure that you are seen and examined quickly and that your appointment is enjoyable.

If you have questions about any of the documents provided, please contact our office for assistance.


Medical Records Release Form (PDF)

Patient Registration (PDF)

Patient Medical History (PDF)

Patient Responsibility and Financial Agreement

Notice of Privacy Practice