New Patient History and What To Bring


To better serve you, we now have new patients check in on our iPad Kiosks.   Established patients will confirm their information on the iPad Kiosk as well.

Open Online Portal

Your username is usually your personal e-mail address you provided during scheduling.

Save Time, Fill Out Online In Advance


To expedite your check-in process, you may wish to fill out your information online on our patient portal at .  Then, you will just need to sign our intake form and confirm your information at your appointment.  Your username is usually the unique email address you provided us during scheduling.  Please visit for more information. Get Help

Please bring a list of the following with you:

List (to allow for quick entry into our system if not entered online in advance):

  • Medications, doses, and schedule*
  • Allergies*
  • Creams/Dermatology treatments tried*
  • Preferred pharmacy phone number and address*
  • Referring Provider's name and address  
  • Primary Care Provider's name and address
  • Relevant past medical history, surgical history, and family history of skin cancer or skin disease.*

*Denotes items that may be entered/verified online in advance to save time at your visit.

Cards to bring:

What to bring to your appointment

For all appointments, please bring the following:

  • Your most recent insurance card (click here for list of insurances we are in network with)
  • A government issued photo ID
  • A comprehensive list of your current medications  (and their doses and frequency)
  • An up-to-date allergy list
  • A list of creams or ointments or remedies you've tried (prescription or over-the-counter)
  • Your co-pay if you have one (a $10 service fee may be added if copays are not received on date of service)
  • Credit card to leave on file.
  • If you are on a high deductible plan, please plan on paying all charges up to your remaining deductible amount on the date of service.
  • For cosmetic treatments, payment in full must be made on date of service.
  • A parent or legal guardian must accompany minors to all appointments, or have a delegate along with a form and ID on file.


For surgery appointments, especially Mohs, please bring:

  • Something to read -- there can be wait time especially with Mohs surgery while we check the tissue margins to ensure there is no more cancer left to remove.
  • A driver -- especially if we are operating near your ear, eye, hand, or foot.  A driver is mandatory if you receive pain or anxiety medicine.
  • Consider bringing a snack if you are having Mohs surgery.

How to Prepare

In most cases, no pre-appointment preparation is necessary.  However, here are some general guidelines.

Surgery preparation:

  • Blood thinners:  Do not stop if physician recommended.  If you are on Coumadin, please know your last INR.
  • High blood pressure:  Be sure to take your regularly scheduled blood pressure medicine.  
  • Food:  You may eat and drink as normal.  Have a healthy breakfast; and you may want to bring a snack.
  • Wait time:  If you are having Mohs surgery, Dr. Molenda checks 100% of the margin to make sure the skin cancer is out.  This can take 45 minutes or more of wait time; so please bring something to read.
  • Driver:  For skin cancers by your eye, a driver may be necessary if your eye needs to be patched.  Very nervous patients who receive optional relaxation medication (rarely needed) will also require a driver.

Mohs surgery can take all morning or all day due to same day margin checks.  Please bring a snack and something to read.


Laser procedures:

  • Sun protection: Sun avoidance and protection for 3-4 weeks prior to laser, and 3-4 months after. 
  • No tanning: We cannot safely treat tanned or recently sun exposed skin.  Once your pigment producing cells (melanocytes) are "activated" there are risks of dyspigmentation and blotchiness.
  • Cold sores:  We cannot proceed with any energy based device if you have active cold sores on the treatment day.  Usually cold sores can be minimized or staved off with anti-virals.

Sun avoidance and protection are crucial before and after laser.