Patient Information
 

Patient Forms

Advanced DermCare provides our patients with office forms on this website for your convenience.  We recommend you print and fill these forms out at home to save time while in our office.

Please select .PDF file to download our Patient Forms

Insurance Information
Personal & Family History

Notice of Privacy Practices

If you do not have a copy of Acrobat Reader you can get one for free by clicking here. This will take you to Adobe's website and enable you to download the Acrobat program to your computer.


Patient Education

Medical and Surgical Dermatology
AAD  www.aad.org
National Cancer Institute www.cancer.gov
Skin Care Physicians.com www.skincarephysicians.com
Skin Cancer foundation www.skincancer.org
National Psoriasis Foundation www.psoriasis.org
Scleroderma foundation www.scleroderma.org
Rosacea www.rosacea.org
Hemangiomas  www.hemangiomatreatment.org
Web MD – Dermatology  http://www.emedicine.com/derm/index.shtml
American Society for Dermatologic surgery  www.asds.net
American Society for Mohs Surgery  www.mohssurgery.org


Cosmetic Dermatology
Allergen  www.allergan.com
Botox® www.botoxcosmetic.com
Radiesse™ www.radiesse.com
American Society of Laser Medicine and Surgery  www.aslms.org
American Society of Cosmetic Dermatology and Aesthetic Surgery www.ascdas.org
Juvederm® www.juvedermusa.com
Prevage® www.prevagemd.com
Sculptra™ www.sculptra.com

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Dr. Goldberg    Dr. Federman    Dr. Zirn    Dr. Perez    Dr. Lipper    Dr. Gohara

Dermatologists Dr. Barry S. Goldberg, Dr. Grace L. Federman, Dr. Jonathan R. Zirn, Dr. Maritza I. Perez, Dr. Graeme M. Lipper and Dr. Mona A. Gohara of Advanced DermCare, serving Danbury and the surrounding area of Newtown, Bethel, New Milford, Ridgefield, Monroe, Hawleyville, Brewster, Trumbull, Brookfield and Redding.

Danbury Location: 25 Tamarack Avenue | Danbury, CT 06811 | Tel: 203.797.8990

Southbury Location: 22 Old Waterbury Road | Southbury, CT 06488 | Tel: 203.267.6465

Ridgefield Location: 38 B Grove Street | Ridgefield, CT 06877 | Tel: 203.438.5920

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