Forms | American Institute of Dermatology

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Patient Forms

Please take time to read over the Notice of Privacy Practices and fill out the Patient Registration Form prior to your first Dermatology appointment with us.

Medical History Form

Patient Registration Form

Notice of Privacy Practices

PHI Release Form

PHI Request Form

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SE HABLA ESPANOL

Patient Forms

Medical History Form

Patient Registration Form

Notice of Privacy Practices

PHI Release Form

PHI Request Form

Sebring
3109 Medical Way
Sebring, FL 33870

Davenport
171 Webb Drive Suite 1
Davenport, FL 33837

Winter Garden
15536 W. Colonial Drive, Suite A
Winter Garden, FL 34787

Winter Haven
7556 Cypress Gardens Blvd
Winter Haven, FL 33884