Patient Forms

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Since we value your time, please review the following information prior to your visit so we can focus our time on your skin care needs.  Please print all pages, complete and return by mail, e-mail, or fax prior to your next appointment. You may also bring the completed forms to your first visit.

 

 

Mailing Address:     7200 Creedmoor Road, Suite 104, Raleigh NC 27613

Fax Number:            919-518-0939

Email:                       admin@baindermatology.com

 

 

 

New Patient Forms

 

Please print and complete the New Patitent Registration Packet below.

 

 

 

 

 

 

 

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REMINDER: Please bring all insurance cards and photo identification on the day of your appointment.