Securely schedule appointments, request refills and referrals, review your test results, health history and more.
For your convenience, the patient forms can be downloaded, printed and completed by you at home. Please bring the completed forms to our office at the time of your first visit.
For All New Patients (except Mohs):
Additional Patient Forms:
- Payment Policy Statement
- Pharmacy Information Form
- Medical Information Release Form
- Authorization for Consent to Treat a Minor
- Pediatric Follow-Up Intake Form
Additional forms for patch testing patients:
- Patch Testing Patient Intake Form
- Patch Testing Patient Instructions
- Patch/Photopatch Consent Form
- Photo Patch Testing Patient Instructions
Dr. Minkis Patient Forms