If you will be seeing us for the first time, please print and fill out the new patient paperwork posted below and bring them with you to your appointment, along with your insurance card(s) and picture ID.
Please download and complete all five pages.
New Patients
Please click the button to the right to download our new patient paperwork packet. It is 5 forms total. Bring this to your first appointment.
Record Release & Privacy Practices
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Records Release from Carolina Dermatology
If you would like to request a release of your records from Carolina Dermatology to another office, please fill out the form from the link below.
Once you have completed and signed the medical release form you can mail it to us at:933 St. Andrews Boulevard Charleston, SC 29407.
Fax it to us at: 843-571-4925
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Records Release to Carolina Dermatology
If you would like to request a release of your records from another physician’s office to Carolina Dermatology please fill out the form from the link below.
Once you have completed and signed the medical release form you will need to send it to the office you are requesting records from. -
Notice of Privacy Practices
Contact us
to schedule an appointment or if you have any questions concerning billing, insurance, etc.