Patient Forms for Dr. Lifshitz

These forms can be downloaded and then brought in at the time of your visit.
Just click on one of the links (PDF Format) and print.
Please fill out forms in their entirety with Blue Ink.

Patient Contact Form

Patient Information Form

Medical History Form

Patient Guide to Patient Portal

Palm Beach Dermatology
470 Columbia Dr
West Palm Beach, FL 33409
Phone: (561) 640-4400
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