Forms and Patient Resources

New Patient Form
Financial Policies
Medical Records Release
Office Policies and HIPAA Consent
Consent to Treat a Minor
Cryosurgery (Liquid Nitrogen) After-Care Instructions
Botox After Care Instructions
Restylane After-Care Instructions
Wound After-Care Instructions

144 South Main St.
Suite 100
Alpine, UT 84004

801-763-7107
Fax: 801-763-7607
contact@alpineskin.com

The only female Board Certified Dermatologist in Utah County

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The only female Board Certified Dermatologist in Utah County, Dr. Eberting, provides medical and cosmetic dermatological services to residents of Lehi, American Fork, Highland, Alpine, Pleasant Grove, Cedar Hills and surrounding areas.