To help us with your chart, please print the form, fill it out and bring it to your first appointment. You may also fax a copy to Mt. Pleasant Dermatology at (843) 881-5453 prior to your appointment. If you do fax your form in, please indicate appointment date and time on the cover page and bring in original document to your appointment. For your convenience all of our forms are now fillable!
Please send your records request to:
Fax : (843) 484-0667