Edward H. Stolar, MD PC & Todd E. Perkins - Dermatologist in Washington, DC area

www.metrodermdc.com
   Dr. Edward H. Stolar
   Dr. Todd E. Perkins

1712 I Street NW • Suite 712
Washington, DC 20006

Phone: (202) 659-2223
Fax: (202) 659-0289

NEW PATIENT FORMS	HIPAA FORMS	PATIENT INFORMATION

New Patient Info	Notice of Privacy Practice	Wound Care

Medical History Update		Pre-op Instructions

Financial Policy		Accutaine Guidelines

Acknowledgement of Receipt

Cosmetic Interest Questionnaire

Please fax forms to (202) 659-0289		(Click Here) to download and install Acrobat Reader