Patient Portal & Forms
List of Services
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Patient PortalList Item 4
If you'd like to access our patient portal, you can click the link below. Please keep in mind that most requests can be handled more quickly and efficiently outside of our portal by emailing us at wecare@mandeldermatology.com
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Online Bill Pay (via Credit Card)
Now you can pay a bill online with a credit card directly to Mandel Dermatology. No more using your bank account or a clunky app to pay.
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HIPAA Release FormList Item 3
If you'd like us to release your medical records or information to an individual, doctor, or other person who is not yourself, please download and fill out the HIPAA release form. Once completed, you can email it to wecare@mandeldermatology.com.
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Medical Record Request
If you'd like to request your records be sent to you, or you are a third-party that needs to request a patient's medical records, please use this form.
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Third-Party Credit Card Authorization
For patients who wish to use a credit card from a third-party, when the cardholder and/or physical card is not present, please have the cardholder complete this digital form.
