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Dermatology Associates of Georgia

Patient Forms

For your convenience, we now offer our patient forms online! You can fill out the forms directly on your computer then print before your visit, so you won't have to do it at the office. Complete then Print out the forms below:

New Patient Forms


  1. Patient Information Form
  2. Patient Medical History
  3. Financial Policy
  4. Privacy Policy
  5. Receipt of Privacy Policy

Other Forms


  1. Patch Test Forms
  2. Medical Records Request
  3. Medical Records Release
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  • Home
  • Our Practice
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    • Meet the Aestheticians
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  • Medical Dermatology
    • Acne
    • Rosacea
    • Allergic Contact Dermititis
    • Eczema
    • Psoriasis
    • Skin Cancer Screening
    • Mole Checks
    • Warts
  • Treatments & Procedures
    • Surgical Procedures
      • Mohs Micrographic
      • Skin Cancer Removal
      • Cyst and Mole Removal
    • Laser & Light Therapy
    • Cosmetic Procedures
      • BOTOX Cosmetic
      • Laser Treatments
        • Laser Hair Reduction
        • Laser Vein Removal
      • Fillers
        • Restylane
        • Juvederm
        • Radiesse
      • Face & Body Rejuvenation
        • PhotoFacial
        • Sclerotherapy
        • Chemical Peels
        • Microdermabrasion
  • Skin Care Products
  • Patch Skin Testing
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  • Contact Us
  • Patient Resources
    • Insurance Information
    • Pay your Bill
    • Patient Forms
    • Patient Portal
    • Appointments

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We have many locations in Atlanta to better serve you:ABD

Decatur • Johns Creek • Monroe

Norcross • Dekalb Medical Center