Dermatologist Jacksonville -  The Spa and Laser Center at Southside Dermatology
Call Us Now: 904-474-3777
4727 Sunbeam Road, Suite #102
Jacksonville, FL 32257 | Directions

Patient Forms

New Patient Registration

When you call our office to schedule your appointment, you will be given an access code, which you will use to enter our patient portal. Please click this link to access our patient registration portal.

If you cannot access the portal, please print the following forms and bring them to your visit: Checklist for initial visit:
  • Fill out all pertinent patient forms (printable PDF forms)
  • Insurance card
  • Driver’s license
  • Payment for any applicable co-pay, co-insurance, or deductible. We verify all insurances; therefore, please arrive 15 minutes before your appointment time.
No expiration date.
Dermatologist Jacksonville FL - Fan Choice
Rating: 5

"Both from a medical and cosmetic standpoint, I have been most pleased with knowledge, efficiency and courtesy of Dr. Pentel and all support staff."

~ D.C.

Skin Type Solution, Dr. Pentel, The Spa & Laser Center