PATIENT FORMS

For new and existing patients

Consent form for new patients to accept services from our office. 

This must be reviewed by all new patients before their first visit.

 

Patients can sign this on our iPad when they check in for their appointment OR complete it online prior to visit using the personalized email link

Policies outlining financial responsibilities of patients for receiving services from our office and rules regarding missed appointments and cancellations.

Patients can sign this on our iPad when they check in for their appointment OR complete it online prior to visit using the personalized email link

Parents or legal guardians of minors (under the age of 18) are required to sign this form for us to provide services to their child.

This must be completed only for minors before their first visit, in addition to new patient consent and financial / office policies forms. 

 

Patients can sign this on our iPad when they check in for their appointment OR complete it online prior to visit using the personalized email link

This form is required to be completed and signed only by patients who request their medical record information to be transferred to or from Bluebonnet Dermatology.

Patients can sign this paper form provided by our front desk if this form is applicable.