New Patient Registration
You can register as a new patient in several ways:
- Call us at 973-763-7546
- Fill out our on-line form and you will receive a confirmation by email. Appointment Request.
- You can log in to the NexWeb patient portal and enter your information. You will need to be sent a code to create an account. Please contact or call 973-763-7546 to request one. If you register this way, please still review our forms below (Welcome Letter, Release of Health Information and Financial Policies) with important office policies.SOMA Skin & Laser NexWeb Patient Portal (Will open new browser window)
- Download and Mail In Forms. You can register using the Patient Forms below. Please download, complete, and bring them to the office at the time of your visit.
- Request Forms to be Mailed. You can request a new patient package to be mailed to you. Please contact or call 973-763-7546.
- Welcome Letter
- Patient Information Form
- Health Questionnaire
- Release of Health Information
- Financial Policies
- Review of Systems
- HIPAA (Notice of Privacy Practices)
- HIPAA Patient Acknowledgement Form
- Medical Records Financial Policy
- Credit Card Authorization
- Consent to Treat Minor
- Membership Agreement (For Membership Patients Only)
No shows or cancellations with less than 24 hours notice will be subject to a $30 no show fee. Patient’s will be allowed one no show per year without incurring a no-show fee.