Skip to content
Ricks Dermatology
  • Home
  • Dermatology
  • Telehealth
  • Spa
  • Shop Now!
  • Our Team
  • Patient Forms
  • Contact Us

Patient Forms

To view and download forms, click on the following links:

Medical History and Intake Form

Acknowledgement of Notice of Privacy Practice

Patient Rights and Responsibilities

Release of Information

Office and Payment Policy

Contact Us for more information

Ricks Advanced Dermatology & Skin Surgery 

5120 SW 28th St, Topeka, KS 66614
Phone: (785) 408-5800
Email: info@RicksDerm.com

Business Hours

Monday   7:30am - 5:00pm
 Tuesday   7:30am - 5:00pm
 Wednesday   7:30am - 5:00pm
 Thursday   7:30am - 5:00pm
 Friday   7:30am - Noon
2017 Ricks Dermatology | Theme: The Monday by AccessPress Themes

Please click here for our Patient care information related to the COVID-19 virus