New Dermatology Clinic Patients
For your convenience, we have provided the paperwork for new patients of Dr. Jeff Alexander on-line. To access the paperwork, please click below:
- Introductory Information and Financial Policy
- No Show Policy
- Patient Demographics Form
- History and Intake Form
- Notice of Privacy Practices
- Patient Consent Form
- Spa Questionnaire
- Hippa Form, Authorization for Medical Treatments & Financial Responsibility
- Medication Form
Print, complete and bring with you on your initial visit.
You must have Adobe Acrobat Reader to view our forms. To download this free software, click here.