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Ganger DermatologyPatient Forms
Come Prepared So We Can Treat You Better

General Dermatology, Skin Cancer Screenings, & Much More in Ann Arbor, MI

Before you arrive for your appointment at Ganger Dermatology offices in Ann Arbor, Wixom, and Plymouth, MI, you may need to fill out a simple patient form. When you come prepared for your visit, the staff, doctors, and specialists at Ganger can help you faster and maximize your in-office time to treat you and your skin as comprehensively as possible. Browse our patient forms below to find the documents you need. We’re looking forward to meeting you at Ganger Dermatology!

Minor Medical Consent Form

As a parent or guardian, you have your child’s welfare foremost in your heart. We require your consent to provide necessary treatment and care to minors. This ensures your child’s welfare, your ultimate authority, and our ability to provide the level of attention we feel is warranted. You can access our minor medical consent form by clicking the button below.

Release of Medical Records, HIPAA

According to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, you have a federally protected right to privacy concerning access to and third-party sharing of your medical records. To best treat you and your concerns, Ganger Dermatology will require access to previous medical documentation and your medical history.

In order to treat you safely and effectively, we require your consent to access your medical records. This form grants us permission, but you retain complete control over your medical record access for all present and future healthcare providers.

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Caring For You, Caring For Your Skin: Ganger Dermatology

Now that you’ve filled out the necessary documents, you can start looking forward to clearer, healthier, more radiant skin at Ganger Dermatology! If you have any questions about the provided documents, don’t hesitate to reach out at (734) 344-4567. We’re looking forward to improving your life, your confidence, and your wellness!

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