Patient Registration Info

Thank you for choosing us for your dermatologic, cosmetic or weight loss needs

 

In order to ensure a timely schedule and make your experience at Sima Medical & Cosmetic Clinic as enjoyable as possible, we have made our patient registration forms available for download. If you are unable to complete these forms prior to your appointment, please arrive to our office 15 minutes prior.

 

Patient registration forms need to be completed if you are a new patient or if you haven't seen us for more than a year.

New Patient Form
This form is mandatory for new patients. To expedite your visit, please print this form, fill it out and bring it with you on your first visit.
New Patient Registration.docx
Microsoft Word document [26.6 KB]
Patient Medical History
Thia is another required form for new patients. Please fill it out and bring it with you on your first visit.
Medical History - Dermatology Liposonix[...]
Microsoft Word document [61.1 KB]
Print Print | Sitemap
© Sima Medical & Cosmetic Clinic