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Patient Forms


 

NEW PATIENT FORMS

New Patient Information

Medical History

Financial Policy

Acknowledgment of Receipt

Cosmetic Interest Questionnaire

Medical Records Release Form

HIPAA FORMS

Notice of Privacy Practices

PATIENT INFORMATION

Wound Care

Pre-op Instructions

Accutane Guidelines

 

AESTHETICIAN FORMS

Aesthetician Financial Policy

Aesthetician Client Information

Skin Evaluation

 

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PLEASE FAX FORMS TO (202) 659-0289 OR EMAIL US*.

*Email is not used for patient care questions. Please call us as emails will not be answered.

LOCATION

Metroderm DC: Medical, Laser, and
Aesthetic Dermatology Center
1712 I Street NW, Suite 712
Downtown DC
Washington, DC 20006
Phone: 202-659-2223Fax: 202-659-0289

*Phones Shut Off Between
12pm-1pm
And After 4:30pm

OFFICE HOURS

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

8:00 am - 5:00 pm*
8:00 am - 5:00 pm*
8:00 am - 5:00 pm*
8:00 am - 5:00 pm*
8:00 am - 5:00 pm*
Closed
Closed