New Patients

To schedule an appointment please call the office nearest you. If you are a new patient, you can download and complete our registration forms below before your first visit. This may be more convenient for you and will facilitate the registration process when you arrive at our office. Please remember to bring your insurance information with you, and to confirm with our office that we are able to accept your insurance coverage before your visit. We look forward to seeing you.

Patient Information

Patient Information-Medical Questionnaire

Mohs Patient-Medical Questionnaire

Patient Privacy

Spanish Forms

Información del Paciente

Cuestionario Médico

HIPPA - Aviso de las prácticas de privacidad

West Dermatology would like you to know that we outsource some of our internal work.

Overseas outsourcing contact:

Jorge Zuniga
CR Site Manager
Zona Franca Metropolitana
Heredia, Barreal de Heredia

Mob CR (506) 8842-2001; Mob US (702) 575-9805; V Fax (562) 207-6503
Email: jzuniga@lvscc.com; jzuniga@westderm.com