New Patient Forms

New patients must complete all 3 of these forms (below) for their first visit to our clinic.  You can fill them out in our office (please arrive 15 minutes prior to your appointment to do so), or you can save time by printing these and filling them out in advance.

Dermatology Patients: Please do not wear any facial makeup to your clinic appointments.  For proper diagnosis and treatment, it is vital that we can examine your skin in its natural state. Please also be aware that photos will be taken at your appointments for diagnostic purposes as well as to track progress of your results.

  1. Patient Health History (fillable PDF)
  2. Colorado Mandatory Disclosure (includes pricing for all services)
  3. Consent Form