Patient Forms

Before your first appointment with Reading Dermatology Associates, please complete the following forms and bring them to your next visit. Thank you.

Patient Medical Forms

All new patients should print and fill out this and bring it to our office at the time of first your appointment.

New Patient
Medical Form (All Forms Included)

Individual Forms, please download, print and fill out if you need these forms

 Electronic Form Scan QR code with camera phone

Minor's Adult Consent Form

If the child's guardian is unable to attend the appointment, please complete form prior to the visit

Medical Record Release Form


Contact Us Today

* All indicated fields must be completed.
Please include non-medical questions and correspondence only.


Our Office Location

Medical Dermatology Hours

Mon, Tues, Wed: 7:00am-7:00pm
Thursday: 7:00am-5:00pm
Friday: 8:00am-2:00pm

Cosmetic Center Hours

Monday - Thursday: 9:00am to 5:00pm
Friday: 9:00am to 3:00pm
Weekend and Evening hours: By Appointment Only

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