Your health. Your hometown.
Patient Resources
New Patient Forms
As a new patient of Southern Illinois Dermatology, we ask that you complete a registration packet on your first visit. All new patients should arrive approximately 15 minutes early in order to complete the required paperwork. However, you may print the appropriate paperwork (below) and complete it prior to your arrival. Please bring all of your completed forms with you on your visit to Southern Illinois Dermatology. You should have a total of 4 forms.
Patient Information or if you are a Medicare patient use: Medicare Patient Information
Patient Portal
Secure, reliable, 24/7 communication with our office is now as easy as logging onto your computer. Use it to:
- Request appointments
- Request medication renewals
- Access your health record
- Send messages/questions
- View and pay your statement
You can find our patient portal here: