To All Our New and Existing Patients

Before your appointment, please complete or update your Medical, and Dermatologic History, and other requested information via the EHR Portal. Be sure to complete the Patient Forms listed below if you have not already done so this calendar year. This will expedite your visit and save you time when you’re in our office.

To access our electronic record system click here and use the username [your email] and password that were sent to when you registered with us.

If you didn’t receive or no longer have the password, you can reset using the above link. If you have neither your user name nor password, call our office, and make sure we have your correct email so we can resend it to you.

Please review the instructions for navigating through the portal. This will take you through each section step by step.

Complete all the information requested in each purple tab on the left side of the page: your medical, skin, medication, allergy history, pharmacy, etc. Be sure to complete, and check the option NONE for each section that is not applicable to you. Remember to Click “Save and Continue” after you complete every section.

The Chrome browser works best if using a computer with this electronic record system. If you have not already done so, you may download Chrome here or you can use your iPad.


PATIENT FORMS

Given the realities of COVID -19, please download and complete these forms before your appointment so that we can minimize your waiting time, and room you directly. This applies to both New Patients, and Existing Patients, not yet seen this calendar year, fax to (415) 383-1275 to Mill Valley, or bring them with you to our office. Please DO NOT EMAIL any forms to us as they will contain your confidential personal information and not be encrypted.

  1. Patient Information
  2. COVID-19 Informed Consent Agreement
  3. Telemedicine Informed-Consent COVID-19
  4. Medical & Dermatologic History
  5. Medicare Patient Registration
  6. Notice of Receipt of Privacy Practices
  7. Insurance and Financial Policy
  8. Government Mandated Questionnaire
  9. Minor Consent Form

Please bring with you the bottles of all your prescriptions so we can review their instructions.

Please plan to arrive 15 minutes before your appointment time, with your valid current insurance card, driver’s license or ID, and be prepared to pay any co-pay or deductible dictated by your insurance plan.

We kindly request at least a 24-hour advanced notice if you must cancel or reschedule your appointment, or you will be charged a $75.00 fee [If you are sick, you will not be charged].