New Clients

For your convenience, The Aesthetic & Laser Suite, at The Dermatology & Skin Cancer Center, makes it easy for you to register as a new patient - online! Our online forms are secure, so you can feel comfortable taking advantage of this added convenience. When you complete your new patient forms online, we will have you registered in our system by the time you come for your appointment, making your appointment much smoother and faster.

Another option is to download our forms, and then you can complete them and fax them to us before your appointment, at 919/782-7929.

We hope these convenient options for working with us will improve your experience here. Thank you for choosing The Dermatology & Skin Cancer Center.

IMPORTANT: You will need the latest version of Adobe Acrobat Reader on your computer to view and print the printable forms on this site. You can download the software for free at the: Adobe Reader Download page.

Patient Information Form
Online Form
Downloadable Form

Medical History Form
Online Form
Downloadable Form

Request to Transfer Medical Records to Our Practice
Download