New Patient Forms


Your first visit to Heights Dermatology involves a few special steps so that we can get to know you. You can save some time by printing out and completing the patient forms to bring in to your first appointment.

New Patient Info

HIPAA Disclosure Consent Form

Acknowledgement of Receipt of Privacy Practices

Laser PQRS and MIPS Intake Form

NEW Credit Card Payment Policy

Heights Dermatology and Laser
115 ½ Remsen St
Brooklyn Heights

Brooklyn, NY 11201
Phone: 929-552-1481
Fax: 718-624-5972
Office Hours

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