Patient Forms

New Patient Forms

Please complete the new patient forms and bring them with you to your first visit in the office. In order to complete a New Patient Form, you are required to sign that you have read the HIPAA Notice of Privacy form.  Also, on the day of your appointment, please bring a photo id, your insurance card, and a valid form of payment for any co-pay required by your insurance.

New Patient Demographics

Acknowledgement of Office & Financial Policies

HIPAA Notice of Privacy Practices


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Testimonials

Words from our patients

  • Yelp

    "...it was very easy to get an appointment even after being a new patient at this office. Overall the staff is nice and the services are pretty quick."

    Eddie S.
  • Yelp

    "I am so thankful I found Texas dermatology...prices for the consultation and follow-up are very reasonable. If you love your skin is totally worth giving them a call."

    Nancy G.
  • Google+

    "The doctor was kind and caring and answered all questions I had. Wait time was less than 10 minutes. Very efficient office. Highly recommend."

    Sonia F.
  • Google+

    "Would recommend to anyone seeking a new dermatologist."

    Verified Patient
  • Google+

    "I highly recommend this office to my friends and loved ones. Much better than some of the other places I have been."

    Anna G.
  • Google+

    "Great experience with the whole staff. I had questions about my billing and the billing department was great and very helpful. Fantastic clinic!"

    Daniel G.
  • Google+

    "I was nervous about the process and they took great care of me. Couldn't ask for better service and follow up."

    Cody T.
  • Healthgrades

    "I had a good experience and would like to share the info with those who are in search for a great dermatologist."

    Verified Patient
  • Healthgrades

    "I was able to see her within a week of me requesting the appointment."

    Verified Patient
  • Healthgrades

    "Dr. Ali is competent and friendly."

    Verified Patient
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