MAC USERS, see 'Technical Note' below:
You may preregister with our office by visiting our Patient Portal. Call us or fill out the Quick Connect fields to the right to request a login ID.
Please make sure to fill out both forms above The Authorization Form and Financial Policy they are separate forms. After you have completed the form, please make sure to press the Submit button at the bottom of the form to automatically send us your information. On your next visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Technical Note: PC Users - Our online forms uses the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in from Adobe’s web site if it is not already installed on your system. It is important that you have the latest version of Adobe Acrobat Reader to successfully use our online form.
Mac Users You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader for MAC on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site.
Please call Bayshore Dermatology Center with any questions you may have and to request Patient Portal login Information. We look forward to seeing you.
Phone: (713) 946-2666
For information regarding our dermatology services or to set an appointment,
please give us a call at (713) 946-2666.