Patient Forms


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Fresno Dermatology Specialists is fast to get you an appointment and is outstanding! Dr. Paz is fantastic. He is very considerate and takes the time to go into great detail about the procedure and answer any questions. The staff is great, especially Sandy, one of the medical assistants. I will recommend others to this office.
-Ms. Skinner

Patient Forms

Since we value your time as we value your skin, please review the following information prior to your visit so we can focus our time on your skin care needs. Please print all pages, complete, and return by mail, e-mail, or fax prior to your next appointment. You may also just bring the completed forms to your first visit.

Mailing address: 7025 N. Chestnut Ave., Fresno, CA 93720
Fax Number: 559.233.6647

New Patient Registration Forms

Notice of Privacy Practices and Patient Consent Form are for your review and do not require printing, unless you would like to retrain a copy for your records.

REMINDER: Please bring all insurance cards and photo identification on the day of your appointment.