Patient Forms

Welcome to Advanced Dermatology
of the Black Hills!

To save you time, many of our patient forms are available online. All forms are provided as Adobe PDF files. Please print and fill out all applicable forms prior to your appointment. Whether you are a new patient or a returning patient, we look forward to providing you the best care possible.

New Patient

• Intake Form
• Registration Form

Records Release

• Records Release Form

HIPAA Info

• HIPAA Form