pinehurst skin surgery center
289 olmsted blvd., suite 5, pinehurst nc 28374
910.295.2945

 
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For your convenience, we have a variety of important forms available to download and print. The files ending in .doc require Microsoft Word; the ones ending in .pdf require Adobe Acrobat Reader. Both versions contain the same information and you only have to download one version.

Forms for your first visit:

Registration form.doc (92k)
Registration form.pdf
(124k)

Medical History form.doc (96k)
Medical History form.pdf
(136k)

Authorization to obtain medical information.doc (26k)
Authorization to obtain medical information.pdf
(36k)

HIPAA Consent form.doc (92k)
HIPAA Consent form.pdf (96k)

 

For our patients:

Mohns Surgery Pre-Surgery Instructions.doc (92k)
Mohs Surgery Pre-Surgery Instructions.pdf (140k)

Mohs Surgery Post-Operative Instructions.doc (96k)
Mohs Surgery Post-Operative Instructions.pdf (140k)

Biopsy Aftercare Instructions

Biafine/Tazorac Instructions

Aftercare Instructions for Steristrips



 
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