Dermatology Fort Lauderdale
     
 

Patient Forms

The following are forms for new patients. If you would like to save time, you can print them from your computer, fill them out, and bring them when you come for your first visit. We also have copies available at our office.

* Please bring insurance card and a photo ID.

Need Adobe Acrobat Reader?

If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon 'Get Acrobat® Reader'. This will take you to Adobe's website and enable you to download the Acrobat program to your computer.

 
     
 
Dermatologic Laser & Surgery Center | Fort Lauderdale
Skin Cancer Diagnosis | Medical Dermatology | Skin Care | Fort Lauderdale
Dr. Barry I. Galitzer, M.D. | Dermatologists | Fort Lauderdale
Mohs Micrographic Surgery | Photodynamic Therapy | Torn Ear Lobe Repair | Fort Lauderdale
Skin Cancer Prevention | Melanoma Pre-Screening | Fort Lauderdale
Educational Links | Fort Lauderdale
Dermatology Fort Lauderdale
Patient Library | Fort Lauderdale
Dermatologic Laser & Surgery Center | 6550 N. Federal Hwy | Suite #320 | Fort Lauderdale, Florida 33308 | Tel: 954-491-0510
 
- Skin Cancer
- Mohs Micrographic Surgery
- Photodynamic Therapy
- Actinic keratoses
- Torn Earlobe Repair
- Topical Creams
- Acne
- Psoriasis
   
 
     
   
 
 
 

Procedures

 
   
     
 
Dermatologist Dr. Barry I. Galitzer, M.D., serving Fort Lauderdale and surrounding areas.
 
     
   
     
   
 
 
 
Copyright © 2004 - 2010 Dermatologic Laser & Surgery Center and MedNet Technologies, Inc. All Rights Reserved
. Terms of use - Sitemap
MedNet-Sites by MedNet Technologies

MedNet-Sites™ - Powered by MedNet Technologies, Inc.