New Patient Papers

Please print all PDF forms below. The patient needs to fill out all forms and bring them to the office on the day of the appointment along with his/her insurance card and photo ID.

Benson Dermatology New Patient Registration
Financial Policy
Medical History
No Show Policy
Notice of Privacy Practices
Notice of Privacy Practices - Consent Form
Patient Credit Card Policy

*Individual results may vary. Photography contains a mix of actual patients and stock photography. Testimonials are from actual patients.