Welcome to Rockingham Dermatology! Please print off the attached file and fill it out completely. If you prefer to take care of your paperwork online, please call our office and request a security code so that you can create a username and password for our patient portal. You can then access the online forms via the patient portal on this site.Click Here: Download New Patient Form
For your first appointment we will need the following, Please bring these with you at your visit:
- Photo ID
- Current Insurance card
- A list of current medications and allergies
Please arrive 15 minutes prior to your appointment. We collect co-pays at the time of visit and will file your claim with your insurance. Our office policy requires patients to provide a Social Security number and have a photo taken for identification purposes. Refusal of one or both will force our office to decline to see you as a patient. If you are unable to keep this appointment please give us 48 hours’ notice as our new patient appointments are booked out far in advance. This allows us time to fill this appointment with other patients who are waiting.