Welcome to Dallas Associated Dermatologists

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For appointment call us :

214-987-3376

DALLAS, TX
UV INDEX
08/22/2017

Patient Forms

Whether you are a new patient or a returning patient to our practice, please take the time to fill out your respective patient forms located on the left-hand side of this page. Arriving to your scheduled appointment with your prepared forms will significantly decrease your time in the waiting room. We look forward to seeing you at your next visit with Dallas Associated Dermatologists!

Mohs Micrographic Surgery Information

The below documents are provided to you in preparation for your upcoming Mohs Surgery visit. As a convenience to you, please arrive to your scheduled appointment with the Mohs Health History information document completed as best as possible. If you have any questions regarding the health questionnaire, please call 214-751-2330.
Dr. Custis – Mohs Patient Information Packet
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Medical Release Documentation

Please refer to the documents below for your medical release and medical request needs.
Authorization to Request Information
Authorization to Release Information