Patient Forms

Please complete these forms and bring them to your visit to expedite check-in at our office.

Patient Information Sheet

Release Authorization Form

When you come for your scheduled appointment please be sure to bring your picture ID, current insurance card, and any applicable copay. 

Would you like for us to release your records to another doctor? Please fill out this form and fax, email, or mail it to us. Please be allow up to 48 hours for processing.

Release Authorization from Andrus & Associates Dermatology, P.A.

If you would like for another doctor to release records to our office please fill out the following form:

Release Authorization to Andrus & Associates Dermatology, P.A.

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