New
Patient
Center

New Patient Forms

If you’re a new patient, we want to welcome you to Kentucky Dermatology and Cosmetic Specialists. To make your initial check-in process as smooth as possible, please try to arrive at our office about fifteen minutes prior to your appointment. This gives you time to settle in and fill out paperwork. To make the process more convenient for you, you may download the forms below, complete them and bring them with you to your first appointment.

We look forward to meeting with you!

Pay My Dermatology Bill

Click here or go to www.patientnotebook.com/KYDermatology

New Patient Forms for Kentucky Dermatology:

Dermatology New Patient Forms and Medical History-Derm

New Patient Forms for Cosmetic Specialists:

Cosmetic New Patient Forms and Medical History

Due to COVID-19, Kentucky Dermatology is open for abbreviated hours and will also be offering telemedicine appointments. We are taking daily sanitizing precautions to ensure the continued health and safety of our staff and patients during this time. Call us today to schedule an appointment.
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