• map-cpClifton Park Office

    1770 Route 9 Suite 202
    Clifton Park, NY 12065

    Phone: (518) 631-2933
    Fax: (518) 371-7102


  • Schodack Office

    map-schSchodack Office

    1547 Columbia Turnpike
    Castleton, NY 12033

    Phone: (518) 479-4156
    Fax: (518) 479-3794


  • Chatham Office

    map-chathChatham Office

    113 Hudson Avenue
    Chatham, NY 12037

    Phone: (518) 392-6742
    Fax: (518) 392-6019


  • Schenectady Office

    map-schenSchenectady Office

    461 Clinton Street Extension Suite 1
    Schenectady, NY 12305

    Phone: (518) 374-7222
    Fax: (518) 374-2051


  • All four locations are open. Call or email us to schedule your next skin care appointment. Thank You!

    Patient Forms

    In order to get the most out of your visit, please remember to bring a list of the medications you are currently taking, as well as any other medical conditions you might have. Please remember your insurance card or proof of coverage, as well as the appropriate form of payment for the co-pay on your insurance. To ensure that Upstate Dermatology participates with your insurance plan, please contact your insurance provider directly.

    For your convenience, we’ve included some of the patient in-take forms available below. We welcome you to print and fill out the forms at home prior to your visit, and simply bring them with you to your appointment. If you have any questions, a member of our staff will be happy to help you when you arrive and help you with any sections you may have questions about.

    Download patient forms

    To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.

    New Patient Packet  
    Minor Consent Form  
    Medical Records Release Form  
    Notice of Privacy Practices