New Patient Paperwork
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.
Consent for Photo & Video Utilization
Our practice often utilizes before and after photos or videos taken of medical and/or cosmetic procedures and treatments for internal and commercial uses. Please be aware that patients will not be compensated for the use of any image(s) for which they have given permission to Integrated Dermatology of Ponchatoula, LLC, doing business as Benson Dermatology, QnA Cosmetic Surgery, and QnA Medical Spa, (collectively, “Integrated”) to use for marketing purposes. Patient’s identities may be concealed by obstructing areas of the face and/or body.
Areas Served
Our Services
Our Practice
*Individual results may vary. Photography contains a mix of actual patients and stock photography. Testimonials are from actual patients.