DERMATLANTA.COM > NEW PATIENT HISTORY FORM

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!

Please click here to view our HIPAA policy regarding the privacy and dissemination of patient information as of 2/24/2010.

All data and information provided on this website is for informational purposes only and should not be misconstrued as medical advice. Dermatology Associates of Atlanta makes no representations as to accuracy, completeness, relevance, suitability, or validity of any information on this site and will not be liable for any errors, omissions, or delays in this information or any losses, injuries, or damages arising from its display or use. Treatment information and medical recommendations must be made on a case-by-case basis; it is recommended that you seek personalized care from a board certified medical doctor for any medical questions or health issues you may have.