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Dermatology Specialists of Greater Cincinnati, Inc. ACCOUNT # 7794 Five Mile Road Suite 240 Cincinnati, Ohio 45230-2368 Phone 513-231-1575 Fax 1-855-818-3918 Date: Nancy J. Pelt, M.D. Denise R. Smith,
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A registration form in dermatology is a document used to collect specific information about a patient's medical history, allergies, and skin conditions to ensure proper care and treatment.
Patients seeking dermatological services are required to complete the registration form before their first appointment or any subsequent visits.
To fill out the registration form, patients should provide personal details such as name, age, contact information, medical history, medication usage, and any specific skin concerns.
The purpose of the registration form is to gather essential information to aid healthcare providers in diagnosing and treating dermatological issues effectively.
The registration form must report personal details, medical history, current medications, allergies, previous treatments, and reasons for the visit.
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