Patient Forms


At Skin Dermatology in Shrewsbury, Massachusetts, we utilize electronic policies, privacy authorizations and consents. We do this to speed-up your check-in, streamline your visit and most importantly to make your life easier. All electronic forms will be completed and signed electronically on our office provided iPads. These forms will then automatically save to your patient electronic health record. All of the forms utilized in our office are provided here for your review. The last thing we want is for you to feel rushed during your visit. If you have any questions on any of these patient forms, please do not hesitate to contact us!


Practice Policies

Notice of Privacy Practices – HIPAA


COVID-19 Information & Consent

COVID-19 Visit Instructions

COIVD-19 Informed Consent



Disclosure of Patient Health Information (PHI)

Permission for Verbal Communication

Consent Forms

General Dermatology

Botolinum Toxin

Dermal Filler

IPL & Facial Resurfacing

Laser Hair Removal

Radio Frequency Skin Tightening


SculpSure Body Contouring

SculpSure Submental

General Medical Aesthetics

Parental Consent for Medical Aesthetics

Chemical Peels

Lash Extensions



Skin Dermatology
555 Main Street, Suite 1
Shrewsbury, MA 01545
Phone: 508-644-0505
Fax: 508-644-0506
Office Hours

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