The following forms can be downloaded to your computer and printed at home. In order for our doctors to provide a complete and comprehensive medical evaluation, it is important that the physicians review all of your medical information. Please be prepared to provide this information to our office along with your current medical insurance information. Below are links to our patient registration and office forms. If you have any questions when filling out these forms, our staff will assist you on the day of your visit.

Patient Registration Forms
HIPAA Privacy Policy Form
Office Policy Consent Form
Patient Information Sheet
Treatment to Minors Form

Office Forms
Medical Records Release Form (TO Peraza Dermatology Group)
Medical Records Release Form (FROM Peraza Dermatology Group)
Patient Questionnaire