Welcome to Innovative Dermatology, the office of board certified dermatologist Dr. Kunic. From this site you may request an appointment, request to cancel an appointment, or request a prescription refill. If you are planning on seeing the doctor for the first time, please take a moment to download the forms below. After you have completed them you may bring them with you to your first appointment or email them to the staff at main@innovativedermatology.com. This will allow us to serve you more efficiently on the day of your appointment. If there are other items we may assist you with, please feel free to call our office at 773-907-8454. We look forward to serving you.
Patient Registration.
Please fill out this registration form and bring it to the office when you come in for your appointment.
Download here
Patient Insurance.
To ensure propler care please fill out the following insurance form.
Download here
Patient History.
This form will help us know more about ther personal health history of all our patients. Please fill this form out as much as possible.
Download here
HIPAA Consent Form.
The Practice provides this form to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Download here
Office Policy .
If you would like a to download our office policy feel free by using the following link. Download here
Patient Release Form.
Please fill out the following release form and give it to the receptionist upon arrival. Download here