Medical Record Request Bill Pay Main Line: (916) 925 – 7020 Fax: (916) 925 – 3680

Appointment Form







Prior to your Appointment

  • Patient Registration Form (also available on our website):
  • Detailed medication list or medications including topical creams applied to your skin.
  • Insurance Card
  • Photo Identification
  • Check, cash or credit card if you have a co-pay or deductible
  • Any applicable medical records, referrals or pathology reports

Phone : (916) 925 - 7020

Email : info@capitalskin.com

Cancellation and No Show policy

To be fair and considerate of all patients, please call 48 hours before your appointment to cancel or reschedule.