Dermatology Associates of Kentucky
Dermatology Associates of Kentucky

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Becknel Exam


Patient Information

Medical History Form

Patient Information Form

PQRS Handout 

Patient Portal Registration Instructions

How to Link a Child/Dependent Patient Portal Account

Ambulatory Surgery Center Medical History Form

Ambulatory Surgery Center Consent to Resuscitative Measures

Consent to Treat A Minor Form

Release of Information Form

Surgical Preparation Instructions

An Important Message For Our Surgical Patients

Notice of Privacy Practices

Frequently Asked Questions by Skin Cancer Patients

DAK Map - Driving Directions


The physicians at Dermatology Associates ask you to download, print, and fill out the forms located on this page. Please bring them with you to give to the receptionist upon your arrival. If you are preparing for a surgical visit, you can find instructions for you to follow before your visit.

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Dermatology Associates of Kentucky
250 Fountain Court
Lexington, KY 40509
Phone: 859-263-4444





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