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  • Shop
  • Providers
    • Medical Providers
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    • RN Injectors
    • Estheticians
  • For Patients
    • FAQs
    • Patient Portal
    • Patient Forms
    • Skin Cancer Treatment Info
    • COVID-19 Safety
    • Telemedicine
  • For Physicians
    • Referrals
    • Join Pinnacle
    • Utilize Centralized Pathology
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    • About Us
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Patient Forms and Policies

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patient forms

New Patient Forms

You may download our patient forms and fill them out in advance to save time when you come in for your consultation.

  • New Patient Paperwork
  • Financial Policy for Pinnacle Dermatology
  • Verbal Release of Information Form
  • Notice of Privacy Practices

Other Forms and Policies

  • Medicare Patient Form
  • Self Pay Pathology Form
  • Treatment to Minors Form
  • Universal Procedural Consent Form
  • Disability Insurance Form
  • Credit Card Authorization Form
  • Medical Release Form
  • HIPAA Patient Signature Page

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