Patient Resources

Appointments

We suggest that you schedule your appointments as far in advance as possible to ensure availability.

For initial appointments, please arrive 5 minutes prior to your scheduled appointment in order to complete all necessary paperwork. Photo ID, insurance card and credit card to keep on file are required for all appointments.

Get ahead…

We ask that you use the Patient Portal to remotely complete all of the required paperwork needed for your appointment. The Patient Portal is the most effective and compliant way to share information with us. It will also minimize the amount of contact you have with our staff, and the amount of check-in time at the front desk.

Login To Patient Portal

If you are unable to access the Patient Portal, please print and fill out the necessary forms below, and bring them to our office on the day of your appointment.

If a patient is under the age of 18 and attending their appointment alone or with someone other than a parent or guardian, please have a parent or guardian complete the following forms and bring it with you to your appointment.

Financial Policy

HIPAA

Credit Card on File

Release of PHI

Other Forms Available for Download

Treatment of Minors Policy

Medical Records Release Form

Cancellation Policy

We understand that sometimes it is necessary to re-schedule appointments. We ask that you give at least 24 hours notice prior to canceling and we will gladly reschedule your appointment. In the event that you are unable to give sufficient notice, a cancellation fee of $25-$50 may apply. We regret any inconvenience this may cause.

Health Information Privacy

At Northshore Dermatology Center, we are dedicated to providing you with the highest quality care, including privacy. We abide by HIPPA regulations to ensure patient confidentiality at all times. We protect the security and confidentiality of your personal information. Our most important asset is our relationship with you.

Note: These files are in PDF format. If you do not have Adobe Reader on your computer, you can download it for free by clicking here or on the Adobe Reader icon.

Request an Appointment

  • * All indicated fields must be completed.
    Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.

Request an Appointment

  • * All indicated fields must be completed.
    Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.

3 Convenient Locations In Your Area

lakebluff img

925 Sherwood Dr,
Lake Bluff, IL 60044

Mon: 9:30am to 7:00 pm
Tues: 9:00am to 5:30 pm
Wed: 9:30am to 5:30 pm
Thu-Fri: 9:30am to 5:00 pm
Sat: Varies

wilmette img

3612 Lake Ave. #2B,
Wilmette, IL 60091-1000

Wed: 9:30 am -5:30 pm
Thu: 9:00am - 5:00 pm

libertyville img

1850 W. Winchester,Suite 106
Libertyville, IL 60048

Tues: 9:30 am - 6:00 pm
Wed: 9:30 am - 5:30 pm
Thu: 9:30 am - 5:00 pm

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