YOUR VISIT

Please complete the Patient Information Form and Medical History Questionnaire and return them to us at least one week prior to your first visit.

• Patient Registration Form
• Medical History Questionnaire

If you are unable to mail the completed forms to us at least one week prior to your visit, you also may bring them to your first appointment.   

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.

Referrals and Payment

Please be sure to obtain a current referral from your primary care provider prior to your visit if your health plan requires one. Bring your referral, the name of your primary care physician, and your health insurance card to every appointment. Co-pays are expected at the time of your visit.

Skin Examinations

South Shore Dermatology Physicians wants to make your visit as comfortable and complete as possible. At your initial visit, you will be offered a full examination of your skin. Additional full skin checks may be recommended depending on your skin type, medical history, and individual needs.

Questions about your Skin

In order to provide you with comprehensive care for your skin, our doctors will make every effort to help you prioritize your concerns and address them in a thorough and timely fashion. 

Medical Record Release Authorization

If you have previously seen one of our dermatologists in another office, or if you have seen another dermatologist in a different practice, you will need to provide us with your Medical Record. Please click to download the Medical Record Release Authorization Form, fill it out, and send it to the office at which you were seen in the past so that your medical record can be released to South Shore Dermatology Physicians. Your Medical Record should be mailed to:

South Shore Dermatology Physicians
31 Roche Brothers Way
Suite 200
No. Easton, MA 02356

Prescription Refills

Please request your prescription refills at the time of your visit. If a refill is required between visits, phone our office during regular business hours with the name and phone number of your pharmacy; name of the medication needed; number of pills taken each day; and strength of each dose. If the medication needed is a cream or a lotion, please include the number of times each day the medication is applied, and strength of the medication. Please allow up to 48 hours for South Shore Dermatology Physicians to complete your refill request.

Please be aware that our practice may not be able to provide a prescription refill prior to your visit if you have not seen one of our physicians in more than six months to a year. Many medications require careful follow up and monitoring for potential side effects, and this policy has been implemented to better serve our patients.