Patient Forms

Patient Forms

The following forms are available online for your convenience:

New Patient Forms

All new patients are required to download and complete the New Patient Information Form (link below) prior to the first appointment. On the day of your appointment, please bring the completed paperwork with a photo ID, your insurance card (if applicable), and a valid form of payment for any co-pay required by your insurance.

Link to New Medical Patient Information Form

Link to New Cosmetic Patient Information Form

Link to Patient Portal

Other Administrative Forms

The form below is generally not required for new patient appointments but is available here when needed for special circumstances.

Link to Medical Records Authorization Form

Make An Appointment Today

Contact our skin care team to learn more about the Prism Dermatology patient experience.

Call Us: 817-329-1350