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Twin Peaks Dermatology

205 South Main Street, Ste. E
Longmont, CO, 80501
(303) 485-8913

205 S. Main STREET, suite e | Longmont, CO, 80501 | 303.485.8913

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Twin Peaks Dermatology

  • Home
  • About Us
  • Services
  • Forms
  • Office Info
  • Location
  • COVID-19 Response
  • Contact
TwinPeaks_frontdesk.jpg

This page contains downloadable forms which you may print at home and complete prior to your visit with us. If you are a new patient, please print out the New Patient Registration Materials and bring these completed forms with you to your first visit. Thank you.

NEW PATIENTS:

New Patient Registration Materials


CONSENT FORMS:

Biopsy and Cryotherapy (Freezing) Consent Form
Surgery Consent Form
Intralesional Steroid Injection Consent Form
Authorization for Medical Treatment of a Minor Child
Medical Power of Attorney Authorization for Medical Treatment
Request for Medical Records- Incoming
Request for Medical Records- Outgoing

INFORMATIONAL FORMS:

Dry Skin Care Handout
Post-Biopsy Instructions
Post-Cryotherapy (Freezing) Instructions
Post-Surgery Instructions

Transparency in Health Care Act

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Twin Peaks Dermatology  |  205 S. Main St., Suite E  |  Longmont, CO 80501  |  (303) 485-8913