Patient Info

Enter the PATIENT PORTAL (available only to current patients)


Pay your Bill OnlineBefore your appointment, please fill out the forms online, PRINT THEM and bring them with you to your first appointment. To request an appointment online, please use the convenient form on our Home Page.

You can fill out the forms online by tabbing through the fields and entering your information OR if you prefer you can print them out and fill them out by hand.

Please be prepared to provide this information along with your current medical insurance information at the time of your appointment. If you have any questions regarding completing the forms, our staff will be happy to assist you on the day of your appointment.

Please review the insurance plans we cover prior to your visit HERE.

PDF Forms:
PLEASE Print these forms below and fill them out – Do Not Fill Out Online.

New Patient

Patient History

HIPPA Privacy Policy

Medical Records Release Form

For more information or to schedule an appointment
(same day appointments available)
St. Petersburg 727.392.3376 or Seminole 727.517.3376 or Clearwater 727.441.3376 
Consulting Armstrong Dermatology in St. Petersburg & Seminole Florida


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