The Clinic for Dermatology & Wellness
2924 Siskiyou Blvd, Suite 200
Medford, OR 97504
Phone: (541) 200-2777
Fax: (541) 214-2575
Tuesday–Friday: 7:30 a.m.–5:30 p.m.
The Annex at the Clinic
2937 Siskiyou Blvd, Suite 1
Medford, OR 97504
Phone: (541) 200-2777
Fax: (541) 214-2575
Tuesday–Friday: 7:30 a.m.–5:30 p.m.
Download and print patient forms and important treatment information from links below:
- Authorization to Disclose Personal Health Information to Family or Other Designated Persons
- BBL Forever Bare (Hair Removal)
- BBL Forever Young (Photofacial) and Forever Clear (Acne) Pre and Post Op
- Biopsy After Care Instructions
- BOTOX® Treatment Handout
- Filler Treatment Handout
- KYBELLA Pre and Post Instructions
- Mohs Patient Info Package
- New Patient Registration Packet
- Non-Discrimination Policy
- Notice of Privacy Practices
- PDT Code Information
- PDT Info Forms
- Records Release: FROM Us
- Records Release: TO Us
