Skin Physicians & Surgeons Skin Physicians & Surgeons Skin Physicians & Surgeons Skin Physicians & Surgeons
  • About
    • Sandra S. Lee, MD, FAAD
    • Jeffrey C. Rebish, MD, FAAD
    • Marie Stoddard Lyndsey, MD, FAAD
    • Steven Chow, MD, FAAD
    • Kristin Mickelson, PA-C
    • Karie Hall, PA-C
    • Shannon Lambert, MSPA-C
  • Medical
    • Acne
    • Alopecia Areata
    • Eczema & Psoriasis
    • Cyst & Lipoma
    • Keloids
    • Rosacea
    • Skin Tags
    • Skin Cancer
      • Mohs Micrographic Skin Cancer Surgery
    • Warts & Molluscum
  • Cosmetic
    • Chemical Peels
    • Cosmetic Surgery
      • Eyelid Lift
      • Earlobe Repair
      • Tickle Lipo™ & Tumescent Liposuction
    • Injectables
      • For Wrinkles, Crow’s Feet and Fine Lines
      • Dermal Fillers for Volume
    • Laser Treatments
      • Blood Vessel Removal
      • Clear + Brilliant Laser Treatment
      • Laser Hair Removal
      • Laser for Acne Scars, Wrinkles and Sunspots
    • Micropen Skin Needling
    • miraDry®
    • Hair Loss
    • SLMD Skin Care
  • For Patients
    • Patient Forms
    • Patient Portal
    • Pay Bill
  • Locations
    • Upland, CA
    • Chino, CA
  • Dr. Pimple Popper
    • Meet Dr. Pimple Popper
    • Media Announcements
    • SLMD Skin Care Website
    • Dr.Pimple Popper Official Website
Schedule Appointment
Schedule Appointment
PATIENT FORMS

Preparing for your visit.

Patient Forms

Please download and fill out the forms found in the PDF link below prior to your first visit.

New Patient Packet
Consent to Clinical Procedures
Financial & Patient Communication Policies
Notice of Privacy Practices Acknowledgement of receipt
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Dermatology, Cosmetic Surgery, Mohs Micrographic Skin Cancer Surgery & Laser Surgery in Upland and Chino, CA

© 2026 Skin Physicians & Surgeons. 

  • About Us
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  • Medical Dermatology
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  • Skin Cancer Treatment
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SLMD Skin Care
Skin Physicians & Surgeons
  • About
    • Sandra S. Lee, MD, FAAD
    • Jeffrey C. Rebish, MD, FAAD
    • Marie Stoddard Lyndsey, MD, FAAD
    • Steven Chow, MD, FAAD
    • Kristin Mickelson, PA-C
    • Karie Hall, PA-C
    • Shannon Lambert, MSPA-C
  • Medical
    • Acne
    • Alopecia Areata
    • Eczema & Psoriasis
    • Cyst & Lipoma
    • Keloids
    • Rosacea
    • Skin Tags
    • Skin Cancer
      • Mohs Micrographic Skin Cancer Surgery
    • Warts & Molluscum
  • Cosmetic
    • Chemical Peels
    • Cosmetic Surgery
      • Eyelid Lift
      • Earlobe Repair
      • Tickle Lipo™ & Tumescent Liposuction
    • Injectables
      • For Wrinkles, Crow’s Feet and Fine Lines
      • Dermal Fillers for Volume
    • Laser Treatments
      • Blood Vessel Removal
      • Clear + Brilliant Laser Treatment
      • Laser Hair Removal
      • Laser for Acne Scars, Wrinkles and Sunspots
    • Micropen Skin Needling
    • miraDry®
    • Hair Loss
    • SLMD Skin Care
  • For Patients
    • Patient Forms
    • Patient Portal
    • Pay Bill
  • Locations
    • Upland, CA
    • Chino, CA
  • Dr. Pimple Popper
    • Meet Dr. Pimple Popper
    • Media Announcements
    • SLMD Skin Care Website
    • Dr.Pimple Popper Official Website

(+909) 981-8929

Schedule Appointment