New Patient Registration
Thank you for choosing Bliss Dermatology for your dermatology care. Below are our new patient forms.
- Intake Form Dermatology
- Notice of Privacy Practices
- Payment Policy
- No Surprise Act – Good Faith Estimate
- Release of Patient Health Information
At a Glance
Michelle Pennie, MD
- Board-Certified Dermatologist
- Fellowship-Trained Mohs Surgeon
- Founder and Lead Dermatologist of Bliss Dermatology
- Learn more