Patient Forms

Please note all other forms are available through the Online Check-In at time of your appointment confirmation text or via i-pad check-in at the time of your appointment.

Consent for Treatment of Minor Patients
*A parent or legal guardian is encouraged for the first visit with any patient under the age of 18. Please complete this form if you would like to give permission for another designated individual to accompany your child to his/her appointment.

Medical Records Release
*A Medical Records Release is required to release Vital Dermatology medical records. (If you would like to send medical records TO Vital Dermatology, please call the office/physician where your care originated.)

Authorization to Share your Information with a Family Member.
*This allows the patient to designate another person(s) who is authorized to discuss the patient’s medical care, including Protected Health Information.