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Patient Forms | Illinois Dermatology Institute

Advanced Treatment. Expert Skincare. Close to Home.

At Illinois Dermatology Institute, we simplify the appointment process for our patients by offering a variety of online forms. Use this page to find the form you need. If you have any questions, please give us a call.

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Patient Forms

New Patient Form
If you are a new patient, please download and complete this form.
New Patient Form (Spanish)
If you are a new patient, please download and complete this form.
Privacy Policy
Learn more about the ways we keep your information secure. Download a copy of our privacy policy now.
Medical Records Release Form
Please download and print a copy of a medical release form so that we may obtain and/or share information with the appropriate providers in your personal medical network.
Consent for a Minor
If you have an upcoming visit for your minor child, please download and complete the consent for treatment form prior to arrival.
Surgical Preoperative Instructions
Before your upcoming surgery, it is imperative to understand and acknowledge specific preoperative instructions. Download your copy here.

A Simple Appointment Process

Whether you visit the dermatologist regularly or are a new patient seeking expert advice, we are here to help with all your skin, hair, and nail needs. When scheduled for an appointment at one of our locations, we ask that you please bring a photo ID and your insurance card with you to the visit. Some appointments require additional patient or procedural-specific forms, which you can safely access here anytime.

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