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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Patient Testimonials

"So impressed with everyone there! Dr. Lily Talakoub is amazing and I would send anyone and everyone to her! I was referred by a girlfriend and I can't thank her enough! My Botox and fillers are far better than I expected and look 10 years younger. Plus it's a gorgeous and clean office and everyone is so sweet and helpful! Can't say enough good things about this place! Thank you for going beyond my expectations!." - Hannah G., Falls Church, VA

"Dr Lilly is more knowledgeable than the derms I've been to in DC, she's also friendly and most important honest. She will actually tell you no if you don't need something. Love love this practice!!!" - Kelly L., Mclean, VA

"I've seen Dr. Lily twice - once for a consultation (adult acne and hyperpigmentation) and a second time for a Fraxel laser treatment. I got a great vibe from her the moment I met her and her staff is really top notch. They have always been kind, informative and honest. The ride to McLean is definitely worth it!" - Tarah S., Alexandria, VA

"5 star is not enough for Dr lily and her staff!! She is the best dermatologist I have ever seen ... I have been to her office for both medical and cosmetics reasons and were happy with both!!! I highly recommend Dr lily.. She is also very friendly and pretty :)." - Mahsa A., Reston, VA

"I strongly recommend McLean Dermatology and Skin Care Center. They were able to get me in the day after I called because they had a cancellation. I was going to have to wait approximately 6 months to get into other places in the area. Everyone is very friendly, and the office is beautiful, which is an added bonus!" - Jessica M., Mclean, VA

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