Patient Forms

In order to best expedite your visit and minimize your waiting time at Clear Dermatology & Aesthetics center, we kindly ask that you complete the “New Patient Registration” and “Medical Questionnaire” prior to your visit if you are a new patient. If you are already an established patient and need to update your medical history, please complete the “Medical Questionnaire” form.

Reminder: Please bring pharmacy FAX number to your initial appointment.

Downloadable Forms

To request a consultation click here or call (480) 398-1550.