Tired of spending needless hours filling out forms on a clipboard in the waiting room? We have limited the number of people in the waiting room as well as the amount of physical handling of paperwork, insurance cards, etc. Please fill out and sign the forms online and email them back to us prior to the appointment. Check in just got that much faster.
Complete the following applicable forms:
(Click on form link and download.)
General Forms and Information
Parental Consent for Medical Care Form
Notice of Patient Privacy Practices (HIPAA)
Release of Medical Records Request Form
K2 Derm Cancellation Policy
K2 Dermatology’s Cancellation / No-Show Policy
At K2 Dermatology, we strive to provide timely, quality care to all of our patients. When an appointment is missed or cancelled without enough notice, it limits our ability to offer that time to another patient in need.
Appointments that are missed, cancelled late, or classified as “No Shows” (meaning no call was given at least 24 hours prior to the appointment) will incur a $50-$100 fee depending on type of appointment.
To help us continue delivering the best care possible, we kindly ask that any changes or cancellations be made at least 24 business hours in advance.
We appreciate your understanding and cooperation as we work to accommodate the needs of all our patients with fairness and compassion.
Thank you for being a valued part of our practice.
