Patient Forms

Please print and fill out the following forms and bring them with you to your appointment:

Patient Medical History

Patient Demographics Form

Patient Consent for Use and Disclosure

IQHealth Invitation

Financial Policy

Location
Allen A. Flood, MD Dermatology
650 Pennsylvania Ave. SE, Suite 420
Capitol Hill

Washington, DC 20003
Phone: 202-719-0855
Fax: (202) 547-9092
Office Hours

Get in touch

202-719-0855