Timothy L. Parker, MD
Thomas L.H. Hocker, MD

Advanced Dermatologic Surgery

Patient Forms

Please click on each icon below to download an Adobe Reader® file of that form. Print, fill out and bring the forms with you to your first appointment. If you are a returning patient and your insurance or demographic information has changed, please complete a new Patient Information form and bring it to your next appointment.

Patient Information Form Medical Health History Form Health Information Disclosure Form Insurance Release Form
If you don’t have Adobe Reader on your computer,
please click here for a free download.

Patient Bill of Rights