Save Time Fill Out Forms Online

To minimize delays and wait times for all patients, we've posted standard patient information and medical history forms below.

Please print them out, fill them out, and bring them with you to your appointment.

All forms are in Adobe Acrobat format. If you cannot view the links below, you may need to download the Adobe Reader (free).

PATIENT INFORMATION
NOTICE OF PRIVACY PRACTICES
RECORDS RELEASE AUTHORIZATION

Michelle Aszterbaum, M.D.

Office Location

Dr. Michelle Aszterbaum

** NEW OFFICE LOCATION **

1441 Avocado Avenue 

APPOINTMENT DAYS & HOURS:

Mon, Wed, Thurs, Fri, Sat (NEW)
8:15am - 5:00pm

Contact Us

We are the leading dermatology center serving residents of Newport Beach, CA and Orange County including, West Newport, Balboa, Newport Heights, Newport Bay, East Bluff, Corona Del Mar, San Joaquin Hills, Newport Coast and Crystal Cove with skin care services including BOTOX® Cosmetic injections, dermal fillers, laser hair removal, liposculpture, laser therapies & vein treatments.