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.