In order to view or print these forms you will need to have Adobe Acrobat Reader installed.
Adult Patient (Online)
Click on Adult Registration Form button below to fill out paperwork online.
For adult patients please print, fill out and sign all the documents below.
Upload Documents
Click on button to upload ID card and/or insurance cards.
Minor Patient (Online)
Click on Minor Registration Form button below to fill out paperwork online.
For minor patients please print, fill out and sign all the documents below.
Minor Consent (Online)
Minor Consent Form (Printable)
Access your records through the Patient Portal
Go to dermpro.modmedapp.com and click on patient login.
Need help? Call our office at (218) 454-7546 to speak to one of our receptionist to get you started.
If you want to download your biopsy, culture, or blood work results, click the Tests and Results tab at the top. You then will see past results and can click on them to download.
If you want to download your visit notes, click on Past Appointments on the left-hand side. You will see all your past visit notes that you just click on to view and download.
Medical Release Form (Online)
Click on Online Form button below to fill out a Release of Information online.
It may take up to 30 calendar days for records to be obtained or released.
Medical Release Form (Printable)
Financial Policy and Notice of Privacy Practices
