Patient Forms

Downloadable Forms for New & Existing Patients

Parent or Guardian Consent for an Appointment and/or Procedure Form

Download our parent or guardian consent form in PDF format if you want your minor child to be seen for an office visit or have any procedure done without you present. Send completed form to patient@elevatedderm.com or text a photo of the completed form to 720-851-5200. Parent or guardian must be present at first visit.

PARENT/GUARDIAN CONSENT FORM

Medical Record Release from Previous Office to Our Office

Download our medical record release form to request records from your previous office be sent to our office. Send completed form (we must have the specific location and fax number) to patient@elevatedderm.com or text a photo of the completed form to 720-851-5200 and we’ll do the rest!

MEDICAL RECORD RELEASE FORM

Patient Registration Form

Download our patient registration form in PDF format to expedite your visit to Elevated Dermatology. If you prefer, you can fill out your forms through our portal (call or text 720-851-5200 for details) or come to your appointment 15 minutes early and fill out your forms in our office.

PATIENT REGISTRATION FORM

Have questions?

Reach out to us with any questions and we would be happy to help.

Contact Us