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Forms & Resources

Complete these essential forms before your appointment to ensure a smooth and efficient visit at our clinic.

Medical Records Release Form
Download Form
PHI Consent Form
Download Form
Consent to Treat Minor Form
Download Form
New Patient Paperwork 
Download Form
YOUR VISIT

First Visit Guidelines

Check-In
  • Please arrive 15 minutes before your scheduled appointment to complete any necessary paperwork.
  • Bring a list of all current medications, supplements, and any relevant medical history.
  • If the patient scheduled is a minor, a parent/guardian MUST be present for their initial appointment. 
  • Please bring a valid photo ID and insurance card. 
Terms of Service

Larsen Dermatology Institute is a trade name of and operated by Windsor Dermatology PLLC. 

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Larsen Dermatology SMS / Text Messaging Terms of Service:

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Larsen Dermatology offers a text messaging program to provide important updates regarding your care. By consenting to receive text messages, you may receive automated SMS alerts including, but not limited to:

- Appointment reminders and schedule changes

- Biopsy, lab, and test result updates

- Billing notifications and portal links

- General administrative and clinical updates

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2. Opt-Out Instructions:

You can cancel the SMS service at any time. To opt out, reply STOP to any text message you receive from us. After sending STOP, you will receive one final SMS confirming that you have been unsubscribed. No further messages will be sent unless you re-enroll.

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3. Customer Support & Assistance:

If you are experiencing issues with the messaging program or need assistance, reply with the keyword HELP to any message, or contact our support team directly at:

  • Phone: (970) 667-0304

  • Email: admin@larsenderm.com

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4. Message Frequency & Rates: 

Message frequency varies depending on your appointments and interactions with our practice. Message and data rates may apply for any messages sent to you from us and to us from you. If you have questions about your text or data plan, please contact your wireless provider.

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5. Carrier Disclaimer:

Carriers are not liable for delayed or undelivered messages.

Privacy Policy

1. Information We Collect:

We collect personal information that you voluntarily provide to us, including your name, phone number, email address, and medical preferences when you register as a patient or opt in to receive text messages.

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2. How Information Is Used: 

We use your mobile phone number exclusively to deliver patient-related SMS notifications, such as appointment reminders, clinical alerts, and billing notifications.

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3. Information Sharing & Mobile Data Privacy:

We value your privacy. Mobile information and opt-in consent will NOT be shared with third parties or affiliates for marketing or promotional purposes under any circumstances. We do not sell, rent, or lease your personal information to third parties. We may share information only with trusted service providers (such as our healthcare technology partner, EZDerm, and telecom partner, Twilio) strictly to facilitate sending these administrative and medical messages to you, or as required by law.

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4. Data Security:

We implement industry-standard physical, technical, and administrative safeguards, including HIPAA-compliant measures, to maintain the security of your personal information and prevent unauthorized access or disclosure.

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5. Updates to This Policy:

We reserve the right to update this Privacy Policy from time to time. Any changes will be posted on this page with an updated effective date.

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Effective Date: 09/08/2026

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