Patient Forms
at Rajan DermatologyRegistration
Patient medical release of records form.Records Release
Patient registration, insurance, and records release form.Notice of Privacy
The Notice of Privacy Practices form describes how patient medical information is used and disclosed and how you, the patient, can have access to this information.Patient Authorization
The General Patient Authorization form describes our practice policies and payment policies and procedures. It also outlines policies regarding the release of patient information.Minor Consent
The Minor Consent to Treat form allows the providers in our office to see and treat your child when a parent is not present. All surgical procedures do, however, require a parent to be present.We Work to Find the Right Solutions for Your Unique Skin So You Can Get the Best Results
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