Now accepting Telehealth appointments. Schedule a virtual visit.

Patient Forms


Dear New Patient,


Welcome to our practice! Thank you for allowing us to serve all your dermatology

needs. Please take a few minutes to complete our New Patient form to ensure a

smooth transition to our practice.






Should you find filling out online form too difficult, please let our scheduling staff

know and we will promptly mail you a paper copy.


We kindly ask for you to arrive 10-15 minutes prior to your appointment time so

that our staff can review provided information and have your chart ready by your

appointment time.


If you have medical insurance, please  bring your current insurance card and valid photo

identification card with you at the time of your appointment.  


Thank you! We look forward to meeting you soon.



Ohio Dermatology Center

Our Locations

Choose your preferred location