Patient Registration

Polley Clinic of Dermatology
and Dermatologic Surgery, P.A.


	PATIENT REGISTRATION Make your office visit shorter and smoother by completing the online registration form and submitting it ot our practice. New patients can register for the first time, and established patients can update personal, insurance, and medication information. This system has the highest level of security to ensure your privacy and to comply with all requirements established through HIPAA. Click here for secure patient pre-registration area If you are an established patient and want to request an appointment, please submit your request through our online appointment feature. This system also has the highest level of security to ensure your privacy and to comply with all requirments established through HIPAA. Click here for secure appointment request area