Patients
Patient Resources
Our Patient Resources page provides helpful information and tools to support your dermatology care at Village Dermatology. From forms and educational materials to treatment guides, you’ll find everything you need to make your experience with us smooth and informed. Explore our resources to stay connected and prepared for your visit.
Notice of Privacy Practices
Please visit our Notice of Privacy Practices page to understand how we safeguard your health information and ensure your privacy.
New Patient Paperwork
Thank you for choosing Village Dermatology. We consider it an honor and a privilege to treat you and look forward to building a relationship that achieves your goals for healthy, beautiful skin. Please call our office at 205.877.9773 to request an appointment.
Upon initial contact, we will provide you with a login and password to access our patient portal, where you can fill out all required forms prior to your office arrival. You may also update them in the future as an existing patient. If you are unable to complete the online registration, please below for printable forms.
MEDICAL RECORDS
We ask that you bring with you any former medical records related to or beneficial to your visit. You may also fax them to us at 205.877.9775. Please click below to download and print our Patient Authorization To Release Medical Information Form.
Patient Financing
CARECREDIT
A healthcare credit card for cosmetic procedures.
It’s something you’ve always wanted to do, but something else was always holding you back. We accept CareCredit, the health care credit card designed specifically to help finance your health and beauty needs, such as cosmetic surgery or dermatologic care. CareCredit can help you move forward with the procedures you’ve always dreamed of through financing on purchases of $200 or more. Provided you have credit available, you can use the card repeatedly for follow-ups or different procedures. Learn more by visiting www.carecredit.com or asking us for details.
Patient Portal
The patient portal allows you to have unlimited online access to the following areas:
- Questions regarding upcoming appointments
- Laboratory and other test results
Prescription refill requests - Billing Questions
- Direct Nurse Questions
Please contact our office for your username and password. You are encouraged to reset your password upon initial login.
Patient Instructions
- ABCDE’s of Melanoma
- Acne Treatment Plan
- Acne Medication Instructions
- Consultation Referral Form
- CoolSculpting Take Home Guidelines
- Cryotherapy for Warts
- Dry Skin/Eczema Protocol
- Eskata Post Care
- Hair Restoration with PRP
- Halo Treatment FAQs
- Isotretinoin Survival Guide
- Laser Hair Removal Treatment Instructions
- Post Acne Peel Instructions
- Post Biopsy Instructions
- Post Botox/Dysport Treatment Instructions
- Post Filler Treatment Instructions
- Post Illuminize Peel Instructions
- Post Liquid Nitrogen Care – AK’s
- Post Liquid Nitrogen Care – SK’s
- Post Microneedling with PRP Instructions
- Post Microneedling without PRP Instructions
- Post ProFractional Laser Therapy Instructions
- Post Surgery Care
- Pre Filler Treatment Instructions
- Pre Halo Instructions
- Pre ProFractional Laser Therapy Instructions
- Prednisone Rx Instructions
- The Skinny on Coolsculpting
- Surgery Request Form
Klara
WHAT IS KLARA?
Klara is our communication platform that allows you to communicate with us more efficiently and effectively: say good-bye to phone tag! You can use Klara on your smartphone, tablet or computer, and it is free for all patients. There is a free app (iOS only) available for download, but it is not required. With Klara, your information is secure and private, and it is 100% compliant with HIPAA-standards.
WHAT DO I USE KLARA FOR?
You can use your Klara account to reach our staff regarding appointments, general questions, non-urgent medical concerns following a recent appointment, refill requests, benign test results and more.
Please note: Klara is not a replacement for in-person medical consultations or appointments. Use of Klara should replace cases where phone or email would be used. You can message us anytime, but please understand that Klara messages will be read and handled during business hours only. Messages sent after 3 PM on weekdays and anytime on weekends or holidays will be handled the next business day. Klara does provide “read receipts” so you can see when your message was read by staff.
HOW DO I SIGN UP?
We send Klara invitations via email and text message. You can also get started by entering your phone number in the Klara pop-up in the bottom right corner of this website. If you do not see a pop-up, look for a blue button in the bottom right corner that says “Message Us.”
Once you receive your invite, you must click the link in the message to set up your password and activate your account. You will receive a notification every time you have a new message waiting for you in Klara. You can tell Klara if you prefer communication via email or text in your settings.
WHAT IF I HAVE A PROBLEM WITH MY ACCOUNT?
For any additional issues or questions that arise regarding your Klara account, please send an email to support@klara.com.
APPOINTMENT POLICIES
We will send you a reminder text 2 days in advance of your scheduled appointment. Please notify us at least 24 hours prior to your scheduled appointment if you need to cancel or reschedule. If you miss the appointment without prior notification, your account is subject to a fee.
