{"id":25290,"date":"2021-11-01T19:22:54","date_gmt":"2021-11-01T19:22:54","guid":{"rendered":"https:\/\/woodlandsdermatology.com\/?page_id=25290"},"modified":"2024-05-31T14:15:33","modified_gmt":"2024-05-31T14:15:33","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/woodlandsdermatology.com\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"

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<\/div>[vc_column_text]Our forms can be completed online and electronically submitted to our office, or you may download a PDF version and bring the completed form(s) with you at your appointment time.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/2″][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_disable_mobile=”1″ css=”.vc_custom_1645627949100{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 1% !important;padding-bottom: 1% !important;background-color: #ebd69d !important;}”][vc_column css=”.vc_custom_1637158774363{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”][vc_column_text css=”.vc_custom_1652372415277{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-right: 15% !important;padding-bottom: 0px !important;padding-left: 15% !important;}” el_class=”text-cta-blue”]<\/p>\n

Main (281) 363-5050<\/a><\/span> | After Hours (281) 537-3502<\/a><\/span> | Text (281) 533-6824<\/a><\/span><\/p>\n

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Main (281) 363-5050<\/a>
\nAfter Hours (281) 537-3502<\/a>
\nText (281) 533-6824<\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row_content_no_spaces” equal_height=”yes” css=”.vc_custom_1635874324972{margin-bottom: 0px !important;padding-bottom: 0px !important;}”][vc_column width=”1\/2″ css=”.vc_custom_1635872425951{background-image: url(https:\/\/woodlandsdermatology.com\/wp-content\/uploads\/mid-banner-forms.jpg?id=25356) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}”][\/vc_column][vc_column width=”1\/2″ css=”.vc_custom_1635873526306{padding-top: 5% !important;}”][vc_row_inner css=”.vc_custom_1635874163474{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 3% !important;padding-right: 5% !important;padding-bottom: 3% !important;padding-left: 5% !important;}”][vc_column_inner]

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New Patient Registration<\/h2><\/div><\/div>\r\n\t\t\t
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\r\n\t\t\t\r\n\t\t\t<\/span>\r\n\t\t\tAccess Online Form<\/span>\r\n\r\n\t\t\t<\/span>\r\n\t\t\t<\/a>\r\n\t\t\tor<\/span>\r\n\t\t\t<\/span>\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t\t
\r\n\t\t\t\r\n\t\t\tDownload PDF<\/span>\r\n\r\n\t\t\t<\/span>\r\n\t\t\t<\/span>\r\n\t\t\t<\/a><\/div>\r\n\t\t\t<\/div>\r\n\t\t\t<\/div>[\/vc_column_inner][\/vc_row_inner][vc_row_inner css=”.vc_custom_1635874173100{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 3% !important;padding-right: 5% !important;padding-bottom: 3% !important;padding-left: 5% !important;background-color: #f0f0f0 !important;}”][vc_column_inner]
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Medical Release from TWDA\/MD<\/h2><\/div>
This form is to request your medical records from our practice to another facility.<\/div><\/div>\r\n\t\t\t
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\r\n\t\t\t\r\n\t\t\tDownload PDF<\/span>\r\n\r\n\t\t\t<\/span>\r\n\t\t\t<\/span>\r\n\t\t\t<\/a><\/div>\r\n\t\t\t<\/div>\r\n\t\t\t<\/div>[\/vc_column_inner][\/vc_row_inner][vc_row_inner css=”.vc_custom_1635874182213{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 3% !important;padding-right: 5% !important;padding-bottom: 3% !important;padding-left: 5% !important;}”][vc_column_inner]
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Established Patient Forms<\/h2><\/div>
These forms must be completed annually.<\/div><\/div>\r\n\t\t\t
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\r\n\t\t\t\r\n\t\t\tDownload PDF<\/span>\r\n\r\n\t\t\t<\/span>\r\n\t\t\t<\/span>\r\n\t\t\t<\/a><\/div>\r\n\t\t\t<\/div>\r\n\t\t\t<\/div>[\/vc_column_inner][\/vc_row_inner][vc_row_inner css=”.vc_custom_1635874202170{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 3% !important;padding-right: 5% !important;padding-bottom: 3% !important;padding-left: 5% !important;background-color: #f0f0f0 !important;}”][vc_column_inner]
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Treatment to Minors<\/h2><\/div>
Authorization form to treat minors<\/div><\/div>\r\n\t\t\t
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\r\n\t\t\t\r\n\t\t\tDownload PDF<\/span>\r\n\r\n\t\t\t<\/span>\r\n\t\t\t<\/span>\r\n\t\t\t<\/a><\/div>\r\n\t\t\t<\/div>\r\n\t\t\t<\/div>[\/vc_column_inner][\/vc_row_inner][vc_row_inner css=”.vc_custom_1635873027678{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 5% !important;padding-right: 5% !important;padding-bottom: 3% !important;padding-left: 5% !important;}”][vc_column_inner]
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Pathology<\/h2><\/div>
Patient Pathology Responsibility<\/div><\/div>