Records Request Form
We are excited that you have chosen Bayside Dermatology for your dermatologic needs, and we hope that we exceed your expectations. If you are transferring care from another dermatology clinic, they will likely require a signed consent in order to fax us your previous records. This form is available by clicking the button below. Completed and signed form can be dropped off at our office, or sent via email (info@baysidederm.com) or fax (360-282-0759). You may also stop by our office to fill it out, and we will take care of it from there!