Patient registration forms and the arbitration agreement.
Patient Information
- Patient Registration Forms - All
- Privacy Standards Notice
- Medical record Release
- Mohs information packet
- Post op instructions for biopsy and scraping (C&D)
- Post op instruction for excisional procedure with sutures (closed wound)
- Pre and Post op instruction for Botox
- Pre and post op instruction for fillers
- Release for minor to be treated without parent present
- Sclerotherapy information sheet
- Post of for laser hair
- Post op for non-ablative
- Information on Levulan Photodynamic Therapy (PDT)
- Pre and post op instructions for PDT
- Pre and post op for liquid nitrogen
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Meet Dr. Daphne Panagotacos
Dr. Daphne Panagotacos graduated in medicine from USC Keck School of Medicine and served her dermatology residency at the Cleveland Metropolitan Hospital, in Cleveland Ohio. She is a member of the American College of Mohs Surgery, specializing in Mohs micrographic surgery. Her clinic offers a broad range of services, covering all areas of dermatology.