Patient Forms

Dear valued patient; Welcome to my practice.

Thank you for choosing Castle Dermatology Institute where the highest level of patient care is our utmost priority.

Below is a link to download our Patient Registration Packet. It contains all the new patient forms you will need. Please download, print, fill them out and bring them with you to your appointment.

Patient Registration Packet includes:

  • Patient Information
  • Medical History
  • Privacy Policy
  • Assignment of Rights and Benefits
  • Cosmetic Questionnaire
  • Arbitration Agreement

Please remember to bring your insurance cards and the ID of the subscriber if it is not on the card.

I realize that your time is valuable, and I make every effort to see you at your appointment time.

Thank you for choosing Castle Dermatology Institute again.

I look forward to serving your dermatologic needs and a continued relationship with you and your family.



Peyman Ghasri, M.D., F.A.A.D.


The process and treatment was painless, quick and effecctive. My hats off to Dr. Ghasri.

Xavier M., Yelp

I highly recommend him to anyone looking for a caring Dr who knows his stuff!

Lynne A., Yelp

Amazing! I had my first appt this past weekend and Dr. Ghasri was extremely professional, friendly and thorough.

~ Geoff T., Yelp

Dr. Ghasri is really as good as it gets. If there were a 10-star option, I'd pick that.

Meg S., Yelp

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Contact Us

All services are personally performed by Dr. Peyman Ghasri and Dr. Pedram Ghasri, Board-Certified Dermatologist
For an appointment or more information, please contact us or call: 818 344-Derm (3376)