• Call us at (970) 667-3116
  • Home
  • About
    • Our Medical Practitioners
      • Patrick J. Lillis, MD
      • Aaron M. Bruce, DO
      • Aaron Z. Hoover, MD
      • Sarah M. Bair, MD
      • David J. Seitz, PA-C
  • Services
    • General Dermatology
      • Psoriasis
      • Rosacea
      • Skin Cancer/Mohs Surgery
      • Acne
      • Eczema
      • Moles and Birthmarks
      • Skin Cancer Prevention
    • Cosmetic Dermatology
      • Laser
      • Botox® Cosmetic
  • Patient Resources
    • Forms for Your Appointment
    • Insurance
    • FAQ's
    • Patient Library
    • Helpful Links
    • What is a DO?
  • Clear Water Spa
    • Our Spa Staff
    • Clear Water Spa Services
      • Corrective Facials
      • Corrective Peels
      • Other Spa Services
    • Skin Care Products
    • Spa Photo Gallery
    • Spa & Cosmetic Specials
    • Spa Appointment Information
  • Contact

Forms for Your Appointment

For your convenience, we have intake and HIPPA (privacy act) forms that you can download, print and fill out prior to your arrival.  You will need Acrobat Reader to read these documents.  You can get it free by clicking here .
  • HIPAA Notice of Privacy Practices
  • Dermatology Health History
  • Patient Information Form (for all clients)
  • Authorization for Medical Records
  • Skin Evaluation for Spa

Resources

  • Forms for Your Appointment
  • Insurance
  • FAQ's
  • Patient Library
  • Helpful Links
  • What is a DO?

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