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Patient Forms
Dear valued patient; Welcome
to my practice.
Thank you for choosing
Castle Dermatology Institute
where the highest level of
patient care is our utmost
priority.
Below is a link to download
our Patient Registration
Packet. It contains all the new
patient forms you will need.
Please download, print, fill
them out and bring them with
you to your appointment.
Patient Registration Packet
includes:
- Patient Information
- Medical History
- Privacy Policy
- Assignment of Rights
and Benefits
- Cosmetic Questionnaire
- Arbitration Agreement
Please remember to bring
your insurance cards and the ID
of the subscriber if it is not
on the card.
I realize that your time is
valuable, and I make every
effort to see you at your
appointment time.
Thank you for choosing
Castle Dermatology Institute
again.
I look forward to serving
your dermatologic needs and a
continued relationship with you
and your family.
Sincerely
Peyman Ghasri, M.D., F.A.A.D.
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