Registration Forms For New Patient | Clarus Dermatology

Registration Forms

Save time at your clinic visits by downloading, printing, reviewing, and signing these forms in advance of your appointment.

If you have any questions regarding how to complete these forms, please arrive early for your appointment to receive assistance from a member of the Clarus Team. 

IDTitleContentDateLink
5649Notice Of Privacy PracticeRead And Review2023/09/20Download
5645HIPPA Financial Policy Signature PageSign and return. Acknowledges receipt of HIPPA Notice and Financial Policy; required for our files.2023/09/20Download
5644Financial PolicyRead and Review2023/09/20Download
5642Minor Treatment Consent FormIf patient is under 18, this form must be signed and kept on file.2023/09/20Download
5641Cosmetic QuestionnaireFor cosmetic procedures or consults, complete this form and bring it to your appointment.2023/09/20Download
5639HIPPA Notice of Privacy PracticesRead and Review2023/09/20Download