Patient Forms

Dermatology Associates of the South Bay Expedite Patient Registration Process

Forms and information to make your visit as quick and pleasant as possible.

Welcome to the office of Dr. Amber Kyle, Dermatology Associates of the South Bay. It is our sincerest goal to make your visit as pleasant as possible. If you are a new patient or we haven’t seen you for 3+ years, we have a few forms (seen below) to fill out to prepare you for your visit. Please bring them with you along with your current Insurance card and Photo ID.

We realize your time is important and strive to make every effort to make the processing of this paperwork as quick as possible.

Registration Form/Face Sheet

Patient History Form

Patient Consent Form & Privacy Policy Form

Terms & Conditions – Medical

Terms & Conditions – Cosmetic

Optional: Cosmetic Questionnaire Form

 

Need Medical Records from an old office or from this office? Medical Records Form

 

Please read: Privacy Policies/Practices