Patient Forms
Welcome to Boynton Beach Skin!
We thank you for choosing us for your Dermatology needs and look forward to seeing you at your upcoming appointment. Our goal is Providing Excellent Care. To reach this goal, our professionals take a comprehensive, leading-edge approach to the assessment and treatment of each and every patient.
In order to expedite the new patient registration process, we ask that you print out, complete and bring the following forms with you to your first appointment. In addition, please bring your insurance card and one form of identification.
Notice of Privacy Practices: This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Notice of Nondiscrimination Practices: This notice describes how Boynton Beach Skin does not discriminate on the basis of race, color, national origin, age, disability, or sex. Please review it carefully.
