New Patient Forms
Welcome New Patients!
Thank you for choosing our practice for your skin care
needs. We offer a wide range of medical, surgical and cosmetic dermatological
services, and we will be happy to address concerns in any of these areas.
The first step is to call our office at
205.877.9773 to set up your appointment.
|When you call to make your
appointment, we will obtain your email address and will
email you a security code. The security code will allow you
to complete all of your new patient forms online, so that we
will have your information in our system immediately without
you having to print anything or fill out forms in our
Please bring any previous medical records that
beneficial or pertinent to your visit. You may also request
that your records be faxed to us at 205.877.9775 prior to
Our goal is to schedule appointments in an
efficient and timely manner. Please call us at least 48 hours in
advance should you need to cancel or reschedule your appointment. We
send appointment reminders via text 2 days prior to your scheduled
appointment time. If you miss your appointment without advance
notification, your account is subject to a fee.
We look forward to seeing you soon.
Village Dermatology Staff
Downloads & Resources
Patient Login - If you have already made an appointment or
are already our patient,
click here to FILL OUT or UPDATE your PATIENT FORMS.
(Security code required and may be obtained by calling our
If you are unable to complete the registration process online,
please click here for Printable New Patient Forms (PDF 1.7MB).