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Patient Resources

At Skin Wellness Dermatology, our medical professionals practice dermatology in a completely paperless workspace. One of our goals is superior efficiency and convenience for our patients. Please take advantage of our online patient forms and post-procedure instructions so that you can decrease your wait time when you arrive for your appointment and have all of our expertise at your fingertips.

Patient Forms

Below are important and informative documents about our practice. Please keep for your records.

Medical Record Release Form (to SWD)
Medical Record Release Form (from SWD)
Referral Request Form

patient portal

Access the patient portal to view your complete medical history, send secure messages to our office or check results.

Patient Medical History Portal

POCKETPATIENT™

PocketPatient™ is a mobile application that gives you the ability to communicate with your doctor, get prescriptions filled, and request future appointments.

iOS
Android

PAYMENT PORTAL

Access the payment portal to view billing statements and settle balances online. ModMed Pay offers multiple ways to pay, including, text to pay, online quick pay and auto-pay.

Access Payment Portal

QUESTIONS?

We can walk you through any questions or concerns you may have. Just call or email us at the following:

205-871-7332
[email protected]

VISITING FROM OUT OF TOWN?

If you’re new to Birmingham or been here several times, we wanted to give you some resources for your stay. Be it for the day or if you’re coming for an extended trip, we’re happy to have you in The Magic City.

View our Out-of-Town Patient Guide

SPONSORSHIP OR DONATION REQUESTS

Please submit all sponsorship and donation requests via the link below.

Sponsorship Request Form

NEW BEGINNINGS

Skin Wellness Dermatology has partnered with New Beginnings Branding Tattoo Removal. New Beginnings offers free tattoo removal to human trafficking survivors to aid in their healing journey.