1. Registration Form: Registration.doc 2. Medical History: Patient Medical Data.doc 3. Permission to Provide care to a Minor: Minor Care.doc 4. Privacy Notice: Privacy Notice.doc 5. Release Form: Privacy Release.doc 6. Release of Medical Information: Release of Medical Records.doc 7. Satisfaction Survey: Satisfaction Survey.doc 8. Acne Instruction Sheet: Acne Care Instructions.doc When you click on these files they will download as a Microsoft Word document. You can either print them off, complete them and bring them with you to your appointment or you can fax them to our office at 615-443-4180. You can also complete them and email them to us at: lebdermcenter@gmail.com. NEW PATIENTS You need only complete the Registration Form and the Medical History for your initial visit. We prefer to have your forms completed 2-3 days prior to your arrival in our office so that we can complete your registration into our computer and make your office visit as efficient as possible. If you are a new patient or haven’t been seen in over 3 years please arrive 15 minutes before your appointment to complete paperwork and allow us to update/enter your information. If you are an established patient arriving for follow-up please arrive 5 minutes before your appointment.Forms_files/Registration.docForms_files/Patient%20Medical%20Data.docForms_files/Minor%20Care.docForms_files/Privacy%20Notice.docForms_files/Privacy%20Release.docForms_files/Release%20of%20Medical%20Records.docForms_files/Satisfaction%20Survey.docForms_files/Acne%20Care%20Instructions.docmailto:lebdermcenter@gmail.comNew_Patients.htmlForms_files/Registration_1.docshapeimage_3_link_0shapeimage_3_link_1shapeimage_3_link_2shapeimage_3_link_3shapeimage_3_link_4shapeimage_3_link_5shapeimage_3_link_6shapeimage_3_link_7shapeimage_3_link_8shapeimage_3_link_9

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