Download our forms:
For your convenience, the following forms can be downloaded on your computer and printed. Please be prepared to provide this information along with your current medical insurance information at the time of your appointment. If you have any questions regarding completing the forms, our staff will be happy to assist you on the day of your appointment.
New Patient Forms (please fill out all 6 forms)
Please note that Adobe Acrobat is required to download and view these forms. If you do not have Adobe Acrobat installed on your computer, please click on the Get Adobe Acrobat icon below. This will take you to the Adobe Acrobat website, where you can download and install Adobe Acrobat on your computer. Once Adobe Acrobat is installed, you will be able to download the forms listed above.
Office Hours
Monday - Friday 8:00am - 5:00pm
About the Facility
Estero Dermatology & Skin Surgery Center is a comprehensive medical, surgical, and cosmetic dermatology practice in the heart of Estero, Florida under the direction of board certified dermatologist, Gregory M. Houck, D.O. From your initial visit, your skin care needs will be treated by Dr. Houck to provide you with the highest quality skin treatment services using the most advanced techniques and progressive technology. At our facility, the patient always comes first and treatment of the highest caliber is provided for each and every patient.
Estero Dermatology & Skin Surgery Center is pleased to be located in the new Estero Medical Center, a state-of-the-art medical complex, located in Estero, Florida, just minutes from I-75 on Corkscrew Road, and centrally accessible to all residents of Southwest Florida. The Estero Medical Center is a 42,000 square foot facility owned by a group of local doctors whose shared goal is to provide quality healthcare services and progressive technologies to meet the changing needs of residents and visitors of Southwest Florida.
The Estero Medical Center now offers a wide spectrum of medical specialists, health services and programs, including the Urgent Care Center of Southwest Florida, DSI Laboratory, and Radiology Regional. With Estero being one of the most rapidly growing communities in Southwest Florida, the Estero Medical Center provides a convenient, one-stop healthcare center for its many residents and visitors. Estero Dermatology & Skin Surgery Center in pleased to reside within the Estero Medical Center where medical experts of all specialties come together, share their knowledge, and provide the best team care in the most efficient way possible for the residents of Southwest Florida.
