Patient Info

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Patient Info

It is important to us that you receive the care you need from our team when you need it. We have assembled the forms you will need for your first visit here. You can download them for completion at home. If you have questions regarding insurance, our office, or your visit, please do not hesitate to contact us at 813-642-3164.

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General Medical Questionnaire

HIPAA Consent Form

Patient Communication Form

Credit Card Authorization Form

Award Winning Dermatologist

Award plaques

Call Lombardi Institute of Dermatology

813-642-3164

Your skin health is important to your quality of life. For that reason, it is important to your dermatologist near Downtown Tampa. If you have questions about our practice, a new growth, or cosmetic dermatology, contact the office of Dr. Milan Lombardi today for a consultation and examination of your skin.

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