717.755.4422

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Patient Forms

The following files are provided for your reference and as preparation before your first visit with us. Please print out, complete, and bring the following forms with you when you come for your appointment.

Coronavirus (COVID-19) Message

If you have fever, cough or shortness of breath and have traveled to areas impacted by coronavirus (COVID-19) or have come in contact with someone known to have tested positive, please call our office before scheduling your appointment.


During the COVID19 national emergency, Dermatology & Skin Surgery Center of York is offering virtual TeleDermatology visits for all Medicare patients via FaceTime or Skype. Now you do not need to travel to the office to see a Doctor.


Call 717-755-4422 to schedule your TeleDermatology appointment today!
Tell us how you would like to communicate: via FaceTime or Skype.