601 Dixie Street, Carrollton, GA 30117 Mon–Fri · 7:00am–5:00pm
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Patient Forms

Photography consent

Use this form to give (or decline) consent for clinical photography as part of your care at West Georgia Dermatology.

Click here to complete the form digitally ↗

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Download the PDF

Prefer to handle it another way? Complete this form through the Patient Portal, or call (770) 838-9333 and our front desk will have a copy ready at your visit.

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