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This document contains essential forms for new patients at Georgia Dermatology & Skin Cancer Center, including Patient Registration, Medical History, Acknowledgment of Patient Privacy, and Financial
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How to fill out Georgia Dermatology & Skin Cancer Center Patient Registration

01
Obtain the Patient Registration form from the Georgia Dermatology & Skin Cancer Center's website or front desk.
02
Fill in your personal information, including your full name, date of birth, and contact details.
03
Provide your insurance information, including the insurance company name, policy number, and group number if applicable.
04
Complete the medical history section, detailing any past skin conditions, allergies, and medications you are currently taking.
05
Sign the consent forms, which may include HIPAA authorization and treatment consent.
06
Submit the completed registration form either in person or via the center's online submission method.

Who needs Georgia Dermatology & Skin Cancer Center Patient Registration?

01
Patients seeking dermatological care for skin conditions or cancers.
02
Individuals requiring a new patient appointment at the Georgia Dermatology & Skin Cancer Center.
03
Those updating their information during a return visit.
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People Also Ask about

If you're worried about a mole or another skin lesion, make an appointment and show it to your healthcare provider. They'll check your skin and may ask you to see a dermatologist and have the lesion further evaluated.
If you find a suspicious spot, seeing a dermatologist can give you peace of mind. Dermatologists are experts in caring for the skin and have more experience diagnosing skin cancer than any other doctor. You can find a dermatologist by going to, Find a dermatologist.
If a GP refers you to a specialist (dermatologist) because they think you could have skin cancer, you'll have tests to check for melanoma.
If your dermatologist finds a suspicious mole or growth, they will determine whether it's best to monitor it or remove it. They may take photos to aid in monitoring the lesions. If the mole or growth is suspicious, your doctor may recommend a skin biopsy.
Founded in 1978 by Dr. Joel S. Shavin, our mission is to provide the highest quality medical and dermatologic care in a setting that makes our patients feel warm, welcome, comfortable and secure.
A GP can perform a skin check and examine any lesions of concern. They are familiar with your history, can talk to you about risk factors and family history, and treat some skin cancers. They might also refer you to a dermatologist, if needed.

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Georgia Dermatology & Skin Cancer Center Patient Registration is a process that new patients must complete to provide necessary personal and medical information before receiving treatment at the center.
All new patients seeking services at Georgia Dermatology & Skin Cancer Center are required to file the Patient Registration form.
To fill out the Patient Registration form, patients should provide accurate personal information, medical history, insurance details, and contact information as prompted on the form.
The purpose of the Patient Registration is to gather essential information that allows the center to verify identity, understand medical history, and coordinate patient care effectively.
The registration must include personal information (name, address, date of birth), contact details, insurance information, emergency contacts, and relevant medical history.
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