Patient Forms

If you are requesting that you would like your records to be shared with another healthcare provider or someone other than yourself please fill out the form below. You can send this back to us via fax at 850-702-2015 or through our secure spruce messaging app.

Current Florida law requires a health care practitioner to obtain written parental consent before performing health care services on a minor child. If your minor is being brought to the office with someone other than the parents or legal guardian we must obtain written consent. Please sign the form to give consent for treatment of your minor child.  You can send this back to us via fax at 850-702-2015 or through our secure spruce messaging app.

Current Florida law requires a health care practitioner to obtain written parental consent before performing health care services on a minor child. Please sign the form to give consent for treatment of your minor child.  You can send this back to us via fax at 850-702-2015 or through our secure spruce messaging app.

A punch biopsy is the removal of a piece of skin where the entire skin's thickness is removed. This is used as a diagnostic tool.

Electrodessication and curettage (ED&C), also known as "scrape and burn," is a minimally invasive procedure that involves scraping away abnormal skin tissue with a curette and then using an electric current to destroy any remaining cells and control bleeding, commonly used for superficial skin cancers, warts, and other skin lesions.

Cryosurgery is a technique used to destroy certain types of skin lesions and skin tumors.

A shave biopsy is the removal of a piece of skin where only a thin portion of the skin's thickness is removed. This is used as a diagnostic tool.