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Growing up near the ocean, tanning was a way of life. This was during the 60s – when the only things that mattered on the beach were dating the c...

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Jun 13, 2011

New Patient Forms

For your convenience, we have added our Welcome Packet to our website. In order to expedite your check-in, we ask that you print and complete the forms below and bring them with you to your first appointment. Please bring:

checkboxInsurance Card(s)

checkboxInsurance Referral (if required)

checkboxInsurance Drug Formulary (call your insurance company for this document)

checkboxWelcome Packet (below)

 

Please print out and complete:

PDF File Welcome Packet (Please print and complete)

PDF Notice of Privacy Practices (Please read, printing not necessary)

If you are interested in learning more about skin cancer treatments, skin cancer surgery, medical dermatology or cosmetic dermatology in the Rock Hill, South Carolina, and Charlotte, North Carolina metro area, click here to request an appointment with Dr. Timothy Woodall, Dr. Richard White, or Ms. Kristin Berka. Or you can call our office, The Palmetto Skin & Laser Center, at (803) 329-6030 to schedule your appointment.