Edward Ruiz, M.D.
Dermatologist
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Download Forms



We take pride, and try to ensure, that you are not kept waiting at our office. To achieve promptness of your appointment time we offer the following downloadable forms. 

Please print  the first five (5) pages and bring them with you to your appointment.  If you are unable to print these please let our staff know and we will mail or fax them to you.

Download Forms: (Pg 1)    (Pg 2)   (Pg 3)    (Pg 4)


(Page 5)

Notice of Privacy Practices



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