main menu

revelus dermatology

4401 West Gate Blvd, Ste 120
Austin, TX, 78745
Phone: (512) 815-2559

search revelus

Close

forms

Download and complete any required forms before your visit to help streamline check-in. You may print and bring completed forms with you.

Need a form? Simply log in to Chat and request the document you need.

new patients

Complete these forms before your first visit.

New Patient Packet:[PDF]   [Chat]

Minor Consent:[PDF]   [Chat]

The packet includes demographics, medical history, our financial policy, and our office policies. Minor Consent is for patients under 18.

policies

Review our financial, office, and privacy policies.

Financial Policy:[PDF]

Office Policies:[PDF]

Privacy Notice:[PDF]

Our cancellation policy is part of the Financial Policy.

resources

Request medical records or get directions to our clinic.

Records Release:[PDF]   [Chat]

Clinic Directions:[PDF]

We prioritize your privacy and ease of access when it comes to your medical records. Understanding your health records is a part of ensuring the best care, and we’ve streamlined the process for your convenience.

Providing personalized and effective dermatology care to the Austin community. Our practitioners deliver compassionate and comprehensive services for all ages and backgrounds. Schedule online today

common form questions

Faq

where can I download patient forms?

You can download all necessary patient forms directly from our Forms page. Just select the appropriate category: new patients, policies, or resources.

New patients complete the New Patient Packet, which includes demographics, medical history, our financial policy, and our office policies. Patients under 18 also need a Minor Consent form signed by a parent or legal guardian.

You can print and bring your completed forms to your appointment for a quicker check-in process. If you have any questions about submitting your forms, please contact our office.

To prepare for your appointment, please avoid wearing makeup or applying lotions or creams on the day of the visit to allow for a thorough examination. Bring a list of any medications you are currently taking, including over-the-counter products and supplements. If you have a history of skin problems, consider bringing any relevant medical records or previous test results.

Returning patients typically do not need to fill out forms before every visit, unless there are updates to their medical history or insurance information. Current forms are always available on this page.

No. Medical and cosmetic patients complete the same New Patient Packet. If a treatment needs an additional consent, our team will provide it at your visit.

If you are unable to download or print the forms, please contact our office. We can provide you with the necessary documents upon your arrival, though this may extend your check-in time.

You can request the New Patient Packet, Minor Consent, or Records Release through Chat, or download, print, and bring your completed forms to your visit.

Completing these forms ensures that we have all the necessary information to provide you with the best possible care. It helps us understand your medical history, current health status, and specific needs.

If you have any questions or need assistance with the forms, please contact our office. Our staff will be happy to help you with any concerns or provide guidance on which forms are required for your visit.

Our cancellation policy is part of the Financial Policy in the New Patient Packet. Please cancel or reschedule at least 24 business hours before your appointment. A missed appointment, or a change made with less notice, is subject to a fee for any reason: $50 for consultations and basic treatments, or $200 for procedures that take 20 minutes or more.