New Patients & Forms

New Patient Information & Forms

Your first visit to Intracoastal Dermatology involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more.

There’s also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment.

Patient Forms

Please print and fill out these forms so we can expedite your first visit:

Patient Information Form
HIPAA Notice of Privacy Practices
Cancellation and No Show Policy
Medical History
Cosmetic Policy (Regardless of the reason for your visit, all patients must sign the cosmetic policy in acknowledgement.)
Patient Portal Information (This is for you to keep so you can access your patient portal after your first completed visit.)

What To Expect

Being well-prepared for your appointment will ensure that the provider has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our About Us page and familiarize yourself with our providers. We look forward to your first visit.

Patient Portal Login