Preferred Provider

Forms, Prescriptions & Privacy

For your convenience and to save time on the day of your appointment, you may download the Registration Information and Skincare Services forms in a PDF format to complete at home and bring with you to your first appointment.

If you choose to complete the forms in the office, please come 15 minutes in advance of your scheduled appointment.

Registration Form (first time visit)

Skincare Services Form

Medical Records Release Form

Prescriptions

We know that requests for refills are often time sensitive. Most pharmacies now require use of the pharmacy’s own refill form. So that you can receive the refill as quickly as possible, please contact your pharmacy and ask that a refill request be faxed to us at 907.563.4283.

Privacy & Confidentiality

Your privacy is very important. You can find information about our privacy practices and compliance with HIPAA requirements in our office.

  Request

Your information is safe with us

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WHAT IS SHINGLES?

Medical name: herpes zoster

Shingles causes a painful, blistering rash for most people. It is a reactivation of the same virus that causes chicken pox. If you've had chicken pox, the virus can return as shingles and affect the nerves.

See a doctor immediately if you think you may have shingles. Starting a prescription within 2 to 3 days of developing the rash can substantially reduce pain and shorten the duration. See the doctor even if it's been longer to lower the risk of other serious health issues

The shingles vaccine, available at pharmacies, has been proven as the most effective method to reduce the risk.

   
Fortson Dermatology & Skincare Center LLC
T 907.563.3204 • F 907.563.4283
2401 East 42nd Avenue, Suite 301
Anchorage, Alaska 99508
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