Call: 780-482-1414 Email: [email protected]
Formerly Groot DermaSurgery

Forms

Here are several forms that you may need to fill out prior to your appointment at our dermatology centre. You may either:

  • (1) print these out, fill in the required fields, and bring them in OR
  • (2) you can fill them out electronically and email them back to us at [email protected]

If filling out these forms electronically, you can do this using a pdf reader such as Adobe reader or Foxit reader. These can be downloaded to your device.

The first form is a COVID-19 screening form that every patient is required to fill out prior to every visit. Please fill this out prior to your visit.

These following forms are required every two years. If you are a new patient or have not filled out forms like these for us within the last two years, please do so and either bring them with you or email them to us. Thank you for your assistance!