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Patient Forms

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.

Sincerely

signature

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




 

 

Featured in the Media 

Awards

 

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super doctors

Peyman Ghasri :: Doctor - Encino, California (CA) :: Doctor Profile :: Super Doctors

Source:

Peyman Ghasri (Encino, California) Doctor Profile on SuperDoctors.com, practicing in Dermatology. Contact Doctor Peyman Ghasri.



2013patientchoice2012patientchoice

2011 Patient Choice Awards2009 Patient Choice Awards

2008 Patient Choice Awards