New Patient Form (Pediatrics)
Medical Information Release Form
Authorization for Consent to Treat a Minor
Pediatric Follow-Up Intake Form
Patch Testing Patient Intake Form
Patch Testing Patient Instructions
Patch/Photopatch Consent Form
Photo Patch Testing Patching Patient Instructions
Financial Responsibility Form for Allergy Patch Testing
Minkis New Patient Intake Form
Post-Operative Wound Care Instructions
Post-Operative Wound Care Instructions (Español)
What Our Patients Are Saying
"A very good and conscientious doctor."
"Dr. Petukhova is an outstanding doctor. She explained everything and has a good bedside manner. I would highly recommend her to other patients."
"Dr. Petukhova provides excellent care. She listens and communicates clearly and handles all my dermatological needs despite initially seeing her for Mohs surgery. She is thoughful, takes all the time needed based on my conditions and follows up post surgery."