Patient Information

Patient Information

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

Patient Forms & Info

New Patient Registration | Fill Out Online

Permission for a Minor to be Seen Without a Parent | Fill Out Online

Photo Consent Form

HIPAA Form – McLean Derm Releasing Info | Fill Out Online

HIPAA Form – McLean Derm Obtaining Medical Records from another Facility | Fill Out Online


Insurances & Billing

Payment for all visits which are not submitted to insurance is due in full at the time of service. We accept Visa, MasterCard, Discover, and American Express credit cards. We do not accept checks.

If you have any questions about your bill, please call Dermatology Billing Associates at 1-800-318-3271.


Request an appointment with a Dermatologist


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