New Patients are required to review or complete several forms.  These forms are listed below for patients to print, review and fill-out.  Please bring all completed forms to your first visit.

Patient Information Form

Medical History Form

Notice of Privacy Act and Acknowledgement Form

Designated Individuals Authorization Form

New Age Dermatology Financial Policy

Authorization for Treatment of a Minor Form (if new patient is under 18 years of age)

Cosmetic Interest Questionnaire (OPTIONAL, only if interested in our cosmetic services)