Patient Forms

At Van Dam Dermatology we welcome new patients.  Most of our patients come to us directly through a referral from another physician or patient of our practice.  When we meet you, please share with us how you learned about Van Dam Dermatology and Laser Center.

New Patient Forms

New Patient Form PDF Download

 

Existing Patient Forms

Consent to treat minor PDF  Download

Release of records PDF Download

Van Dam Dermatology - Barrington IL


 

Van Dam Dermatology & Laser Center
Van Dam Dermatology Barrington Location

Located in THE FOUNDRY OF BARRINGTON
738 W. Northwest Highway
Barrington, IL 60010 View Map

Phone: 847.382.5111

Fax: 847.382.8993

info@yourskinforlife.com

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